加强积极的社区治疗与精神分裂症的认知行为社会技能培训:I. 实用随机对照试验中的主要结果
Eric Granholm1,2, Kim T Mueser3, Jason L Holden1
1Department of Psychiatry, University of California, San Diego, San Diego, CA, United States.
Schizophrenia bulletin
|December 14, 2025
概括
由坚定的社区治疗 (ACT) 团队提供的认知行为社会技能培训 (CBSST) 对精神分裂症患者的有效性较低. 然而,更好的CBSST会话交付与提高技能和功能有关.
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
- 临床心理学 临床心理学
背景情况:
- 有效的心理社会干预对于精神分裂症患者至关重要,但往往无法获得.
- 在社区环境中调整和测试干预措施对于更广泛的获取至关重要.
- 认知行为社会技能培训 (CBSST) 被修改为在坚定的社区治疗 (ACT) 团队内提供.
研究的目的:
- 评估由坚定的社区治疗 (ACT) 团队为精神分裂症患者提供适应的认知行为社会技能培训 (CBSST) 的有效性.
- 与单独ACT相比,评估ACT+CBSST对功能,技能学习,症状和失败主义态度的影响.
主要方法:
- 一项实用有效性试验,涉及178名精神分裂症或精神分裂情绪障碍患者.
- 参与者从公开资助的ACT团队中招募,并随机分配到单独ACT或ACT+CBSST.
- 包括功能,技能学习,症状和态度在内的结果在18个月内进行了评估.
主要成果:
- 单独使用ACT和ACT+CBSST组之间没有发现功能或其他主要结果的显著差异.
- 在ACT+CBSST组中,CBSST交付率较低,但技能学习在ACT+CBSST组中显著改善.
- 探索性分析表明,CBSST会话暴露,技能学习和改善负面症状和功能之间存在剂量反应关系.
结论:
- ACT团队对CBSST的提供较低,可能会限制其有效性.
- 增加CBSST课程的交付与增强的技能获取和更好的结果有关.
- 实施研究是必要的,以确定在ACT服务中增加CBSST会话交付的策略,以改善精神分裂症患者的访问.
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