内在动机预测了第一发精神分裂症协调专科护理期间的认知和功能收益
Thanh P Le1, Joseph Ventura1, Kenneth L Subotnik1
1Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, CA, USA.
对治疗和工作/学校的内在动机显著预测了在接受协调专科护理 (CSC) 的第一发精神分裂症患者中更好的认知和功能结果. 这强调了动机作为治疗成功的关键因素.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 协调专科护理 (CSC) 和小组治疗改善了第一发精神分裂症的结果.
- 对治疗的反应有所不同,动机被认为是关键因素.
- 内在动机与外在动机对第一发精神分裂症结果的具体影响仍未得到充分研究.
研究的目的:
- 调查基线内在和外在动机是否预测CSC6个月和12个月的认知和功能收益.
- 检查对群体治疗干预和工作/学校环境的动机.
主要方法:
- 40名患有第一发精神分裂症的参与者完成了为期12个月的CSC计划.
- 基线内在和外在的动机,认知和功能 (角色,社会) 被测量.
- 在6个月和12个月时重复评估.
主要成果:
- 对群体治疗的更高内在动机预测了12个月后更大的认知收益 (并在6个月后趋向于显著).
- 对于工作/学校的内在动机预测了6个月的角色功能收益 (并在12个月时趋向显著).
- 外在的动机通常影响有限,除了工作/学校外在的动机预测了12个月后的社会功能收益.
结论:
- 内在动机是用CSC治疗的第一发精神分裂症中增强认知和功能结果的重要预测因素.
- 准和培养内在动机可能是一个有价值的策略,以改善治疗反应.
- 研究结果强调了个人激励因素在康复过程中的重要性.
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