Albiston D J, Francey S M, Harrigan S M
Centre for Young People's Mental Health, Parkville, Victoria, Australia.
Br J Psychiatry Suppl. 1998;172(33):117-21.
We evaluate the impact of a group-based, transitional, psychosocial programme, within a comprehensive service (the Early Psychosis Prevention and Intervention Centre, EPPIC), on recovery from first-episode psychosis.
Individuals using the service (and meeting study criteria) were assessed on a range of symptom and functioning instruments at entry, after 6 weeks and 6 months. Participants received comprehensive case management and services according to their identified needs. Thirty-four people who had attended the group programme were compared at 6 month follow-up with 61 EPPIC patients who had not attended.
The people attending the group programme had a lower level of premorbid adjustment than the comparison group, and a trend towards exhibiting a higher level of negative symptoms, prior to commencing the group programme. However, at 6 month follow-up, no significant differences were found between the groups.
Involvement in the group programme may have had a positive impact on a subgroup of EPPIC subjects with poor level of premorbid adjustment, by providing a 'holding pattern' in the critical period following the emergence of first-onset psychosis, and thus prevented deterioration and the development of disability.
我们评估了在综合服务机构（早期精神病预防与干预中心，EPPIC）内开展的一项基于团体的过渡性心理社会项目对首次发作精神病康复的影响。
使用该服务（且符合研究标准）的个体在入组时、6周后和6个月时接受了一系列症状和功能评估工具的评估。参与者根据其确定的需求接受了全面的个案管理和服务。在6个月随访时，将参加团体项目的34人与未参加的61名EPPIC患者进行了比较。
在开始团体项目之前，参加团体项目的人与对照组相比，病前适应水平较低，且有呈现较高水平阴性症状的趋势。然而，在6个月随访时，两组之间未发现显著差异。
参与团体项目可能对病前适应水平较差的EPPIC受试者亚组产生了积极影响，通过在首次发作精神病出现后的关键时期提供一种“维持模式”，从而防止了病情恶化和残疾的发展。
