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对于患有第一发精神病患者的社会认知干预:一个范围审查
Jeanna Man Yui Tang1, Kaylie Ka Yu Chiu1, Chen Yang2
1The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong.
Psychiatry research
|September 20, 2024
概括
社会认知干预改善了第一期精神病患者的社会功能. 这次审查确定了各种干预措施的证据,重点是门诊环境和有针对性的技能发展,以获得更好的结果.
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
- 康复医学 康复医学 康复医学
背景情况:
- 第一次情节精神病 (FEP) 显著影响社会认知,影响功能.
- 社会认知缺陷是FEP治疗干预的关键目标.
- 了解当前的干预措施对于优化FEP治疗至关重要.
研究的目的:
- 系统地识别和综合有关FEP成人社会认知干预措施的证据.
- 绘制现有干预措施的地图,包括它们的交付方式和目标领域.
- 确定影响FEP患者接受干预的障碍和促进因素.
主要方法:
- 按照阿克西和奥马利的框架进行全面的范围审查.
- 搜索了六个主要的数据库 (PsycArticles,PsycINFO,CINAHL,EMBASE,Medline,Scopus) 和灰色文献 (2002年10月至2023年6月).
- 包括对FEP成人社会认知干预的研究,利用PAGER框架和PRISMA-ScR指南综合发现.
主要成果:
- 十二篇文章符合纳入标准;大多数干预措施是在门诊环境下进行的.
- 四项研究使用了广泛的干预措施,而八项研究专注于针对性的社会认知领域.
- 所有包括的研究都报告了干预后社会功能和社会技能的改善.
结论:
- 社会认知干预措施对社会功能和FEP技能产生了积极的影响.
- 门诊机构和有针对性的干预措施似乎是有效的,但障碍和促进者需要进一步关注.
- 未来的研究应该探索长期影响,住院干预和社会感知领域.
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