Falloon I R, Held T, Roncone R, Coverdale J H, Laidlaw T M
Department of Psychiatry and Behavioural Science, Faculty of Medicine and Health Science, The University of Auckland, New Zealand.
Aust N Z J Psychiatry. 1998 Feb;32(1):43-9. doi: 10.3109/00048679809062704.
The aim of this paper is to examine the base for integrating biomedical, psychological and social strategies in the management of schizophrenia.
A review of the literature on schizophrenia with particular emphasis in management considerations.
Effective treatment components include psychoeducation, medication strategies, career-based stress management training, community-based intensive treatment, living skills training, and specific drug and cognitive-behavioural strategies for residual symptoms.
Treatment for schizophrenia is best provided by integrating the various and specific psychosocial intervention strategies in addition to the optimal use of medication. Methods for implementing these strategies in outpatient settings include the use of a comprehensive assessment and treatment plan, the training of mental health professionals, and periodic review with assessment packages.
本文旨在探讨在精神分裂症管理中整合生物医学、心理和社会策略的依据。
对关于精神分裂症的文献进行综述,特别强调管理方面的考虑因素。
有效的治疗组成部分包括心理教育、药物治疗策略、基于职业的压力管理培训、基于社区的强化治疗、生活技能培训,以及针对残留症状的特定药物和认知行为策略。
除了最佳药物治疗外,通过整合各种特定的心理社会干预策略来为精神分裂症提供治疗是最好的。在门诊环境中实施这些策略的方法包括使用全面的评估和治疗计划、对心理健康专业人员进行培训,以及使用评估包进行定期复查。