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治療抵抗性統合失調症に対するエンパワメントに基づくケースマネジメント:3年間の単一症例報告
Cong Wang1,2, Xianbin Li1,2, Jinsong Chen3
1Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.
Frontiers in psychiatry
|February 25, 2026
まとめ
エンパワメント志向のケースマネジメントアプローチは、治療抵抗性統合失調症(TRS)患者の転帰を改善した。この介入により、3年間で症状制御、日常生活の自律性、社会的機能が向上した。
科学分野:
- 精神医学
- ケースマネジメント
- 統合失調症治療
背景:
- 従来の統合失調症治療では、患者の自律性がしばしば見過ごされる。
- 治療抵抗性統合失調症(TRS)には、革新的な管理戦略が必要である。
- エンパワメントに基づくアプローチは、患者の主体性と転帰を向上させる可能性がある。
主な方法:
- TRSの34歳男性患者が3年間の介入を受けた。
- 病理学的治療、心理学的認知、社会的関与、家族ケアの4次元エンパワメントフレームワークを利用した。
- 定量的(PANSS、HRSD、SDSS、CGI、MRSS、FAES II-CV)および定性的評価を用いた。
結論:
- エンパワメント志向のケースマネジメントアプローチは、TRS患者に対して有望な結果を示した。
- 初期の結果は、症状軽減、機能改善、患者エンパワメントにおける利点を示唆している。
- 因果関係と一般化可能性を確立するためには、さらなる対照研究が必要である。
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