反耻辱计划对中国精神分裂症患者的自我耻辱的影响:一项具有准实验设计的试点研究
Journal of psychosocial nursing and mental health services
|August 1, 2023
概括
一个反耻辱团体计划有效地减少了精神分裂症患者的自我耻辱和抑郁症状. 随着时间的推移,参与者表现出对耻辱的抵抗和心理健康结果的显著改善.
科学领域:
- 精神病学是一个精神病学.
- 心理健康服务研究 心理健康服务研究
- 心理社会干预 心理社会干预
背景情况:
- 内化污名严重影响精神分裂症患者,影响他们的康复和生活质量.
- 现有的干预措施往往很难解决这个人群中自我耻辱的多面性质.
- 制定有效的反污名化计划对于改善心理社会结果至关重要.
研究的目的:
- 评估针对被诊断患有精神分裂症的人的新型反耻辱群体计划的有效性.
- 评估该计划对内化耻辱,感知耻辱和抑郁症状的影响.
- 在3个月的随访期内确定干预措施的长期影响.
主要方法:
- 一项随机对照试验,涉及34名精神分裂症患者,分为实验组 (EG) 或对照组 (CG).
- 为了测量结果,使用了内部化精神疾病耻辱度量 (ISMIS),感知精神病耻辱度量 (PPSS) 和贝克抑郁 inventory-II (BDI-II).
- 采用通用估计方程来分析基线,计划后和3个月后续的结果措施的变化.
主要成果:
- 与对照组相比,实验组在ISMIS上显著减少了耻辱抵抗,在测试后和3个月的随访中显著减少.
- 实验组的参与者在3个月的随访后在PPSS上显示出自我低和对婚姻排除的担忧的显著改善.
- 与对照组相比,实验组在3个月的随访后,也显示了BDI-II测量的抑郁症状显著减少.
结论:
- 反污名化小组计划有效地减轻了精神分裂症患者的自我污名化.
- 该干预措施有望减少抑郁症状,有助于改善心理社会福祉.
- 研究结果支持将针对性的反耻辱群体计划整合到精神分裂症的心理健康服务中.
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