探索严重精神疾病患者社区参与的经验
Samantha B Randolph1, Deanna M Barch1, Dror Ben-Zeev2
1Washington University in St. Louis, MO, USA.
OTJR : occupation, participation and health
|July 26, 2024
概括
严重的精神疾病 (SMI) 可以影响社区参与的质量. 症状影响日常享受和孤独,根据诊断而有所不同,需要量身定制的干预措施来改善参与.
科学领域:
- 精神病学是一个精神病学.
- 心理健康研究 心理健康研究
- 社区心理学 社区心理学
背景情况:
- 患有严重精神疾病 (SMI) 的人通常在社区参与方面面临限制.
- 对于SMI患者的社区参与质量仍然不太了解.
- 了解日常经历,如孤独和快乐,对于评估参与质量至关重要.
研究的目的:
- 调查严重精神疾病 (SMI) 症状与社区参与期间的日常主观经验之间的关系.
- 探索SMI的症状如何与孤独感和在社区环境中享受的感觉有关.
- 在各种诊断群体中识别这些关联的潜在差异.
主要方法:
- 利用生态瞬间评估 (EMA) 调查来捕获日常社区参与的实时数据.
- 包括183名参与者,分为四组:双相情感障碍,主要抑郁障碍,精神分裂症/精神分裂情感障碍和对照组.
- 采用多层次建模来分析SMI症状与孤独和享受的日常经历之间的联系.
主要成果:
- 在诊断组中观察到SMI症状和日常经历之间的关联存在显著差异.
- 与其他群体相比,精神分裂症/精神分裂情绪障碍患者报告说,他们参与了更多的非结构化社交活动.
- 症状的严重程度和类型影响了社区参与期间所经历的孤独和享受程度.
结论:
- 对于SMI患者来说,社区参与的质量受到症状表现和参与的背景的影响.
- 旨在改善社区参与的干预措施应根据不同诊断群体的特定临床特征和需求量身定制.
- 考虑参与的背景和个人客户特征对于开发有效的个性化支持策略至关重要.
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