自决对精神分裂症患者长期入住日间医院的社会功能的影响:一项随机对照试验
Eiko Kinoshita1, Takeshi Hashimoto1, Ryoji Nishimura2
1Department of Rehabilitation Science Kobe University Graduate School of Health Sciences Kobe Japan.
PCN reports : psychiatry and clinical neurosciences
|June 13, 2024
概括
定期的自我决定并没有显著改善日间医院的精神分裂症患者的社会功能. 然而,整体而言,日间医院的使用确实导致了三个月的社会功能和精神症状的改善.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 康复服务 康复服务
- 社会运作研究 社会运作研究
背景情况:
- 日本的日间医院是精神疾病的重点康复方法,特别是改善社会功能.
- 大多数 (60%) 的日间医院使用者患有精神分裂症,其中许多是长期使用者 (超过1年),他们表现出有限的社区参与.
- 现有的康复方法可能无法完全满足长期精神分裂症患者的社会功能和康复需求.
研究的目的:
- 调查定期自决对参加日间医院的精神分裂症患者社会功能,康复和精神症状的影响.
- 评估目标设定干预措施是否提高标准日间医院计划的有效性.
- 评估全球功能评估 (GAF),阳性和阴性综合征量表 (PANSS) 和恢复评估量表 (RAS) 成绩的变化.
主要方法:
- 一个多中心随机对照试验,干预期为3个月.
- 参与者被分配到干预组 (每日目标的自决加日间医院计划) 或对照组 (仅日间医院计划).
- 数据收集包括干预前后评估社会功能 (GAF),精神症状 (PANSS) 和恢复 (RAS).
主要成果:
- 在全球功能评估 (GAF),阳性和阴性综合征量表 (PANSS) 或恢复评估量表 (RAS) 的得分中没有观察到显著的群体间差异.
- 与对照组相比,干预组定期自主确定日常目标并没有在社会功能方面取得统计学上显著的改善.
- 干预组和对照组在3个月后都显示了社会功能和精神症状的改善.
结论:
- 在这项研究中实施的日常目标的定期自决,并没有显著提高日间医院中精神分裂症患者的社会功能.
- 仅日间医院项目就在3个月的时间里,对改善社会功能和缓解精神病症状产生了积极的影响.
- 可能需要进一步的研究来探索替代或修改的自决策略,以优化精神分裂症患者在康复环境中的结果.
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