Illness management and recovery (IMR) in Danish community mental health centres.
Illness management and recovery (IMR) in Danish community mental health centres.
复制标题
DOI：
10.1186/1745-6215-12-195
复制
发表时间：
2011-08-17
期刊：
影响因子：
2.5
通讯作者：
Eplov LF
中科院分区：
文献类型：
--
作者：
Dalum HS;Korsbek L;Mikkelsen JH;Thomsen K;Kistrup K;Olander M;Hansen JL;Nordentoft M;Eplov LF
精神分裂症和双相情感障碍是严重的精神疾病，可以对人们的生活产生重大的致残影响。强调希望和康复的心理社会干预作为多层面方法的一部分，可能被认为是为了支持严重精神疾病患者促进康复。疾病管理和康复(IMR)是一门以课程为基础的心理社会干预课程，旨在以康复为导向的结构化计划。IMR的目的是帮助患有严重精神疾病的人获得管理疾病的知识和技能，实现个人康复目标，从而使他们康复。以前的随机临床试验表明，IMR可以以良好的效果和高保真度实施，尽管进一步的试验对于证明IMR的潜在有效性至关重要。这项试验设计是一项随机、评估者盲目、多中心的临床试验，将IMR计划与在丹麦首都地区两个社区精神卫生中心护理下确诊为精神分裂症或双相情感障碍的200名参与者进行常规治疗比较。主要结果是治疗结束时的功能水平。次要结果是疾病症状；酒精/药物的使用；个人对康复的意义；希望；治疗结束时的住院和门诊精神治疗，以及在基线后21个月后随访时的上述和功能水平。如果这项试验的结果表明IMR是有效的，这些积极的结果将加强IMR作为一种针对严重精神疾病患者的有效的综合心理社会干预措施的证据。这将对严重精神疾病患者的治疗和康复产生重大影响。注册号为NCT01361698。
Schizophrenia and bipolar disorder are severe mental illnesses that can have a significant disabling impact on the lives of people. Psychosocial interventions that stress hope and recovery as a part of a multi-dimensional approach are possibly indicated to support people with severe mental illness in facilitating recovery. Illness Management and Recovery (IMR) is a curriculum-based psychosocial intervention designed as structured program with a recovery-oriented approach. The aim of IMR is to rehabilitate people with severe mental illnesses by helping them acquire knowledge and skills in managing their illness and achieve personal recovery goals. Previous randomised clinical trials indicate that IMR can be implemented with a good effect and a high fidelity though further trials are crucial to demonstrate the potential effectiveness of IMR. The trial design is a randomised, assessor-blinded, multi-centre, clinical trial of the IMR program compared with treatment as usual for 200 participants diagnosed with schizophrenia or bipolar disorder under the care of two community mental health centres in the Capital Region of Denmark. The primary outcome is level of functioning at the end of treatment. The secondary outcomes are disease symptoms; use of alcohol/drugs; individual meaning of recovery; hope; hospital admissions and out-patient psychiatric treatment at the end of treatment and the abovementioned and level of functioning at follow-up 21 months after baseline. If the results of this trial show IMR to be effective these positive results will strengthen the evidence of IMR as an effective comprehensive psychosocial intervention with a recovery-oriented approach for people with severe mental illness. This will have significant implications for the treatment and recovery of people with severe mental illness. Registration number NCT01361698.
登录
查看更多内容
DOI：
10.1016/s0197-2456(98)00037-3
发表时间：
1998-12-01
期刊：
CONTROLLED CLINICAL TRIALS
影响因子：
--
作者：
Dupont, WD;Plummer, WD
通讯作者：
Plummer, WD
影响因子：
3.8
作者：
Fujita, Emi;Kato, Daiji;Hirayasu, Yoshio
通讯作者：
Hirayasu, Yoshio
影响因子：
17.7
作者：
Miklowitz, David J.;Otto, Michael W.;Wisniewski, Stephen R.
通讯作者：
Wisniewski, Stephen R.
DOI：
10.1080/15487761003756977
发表时间：
2010-01-01
期刊：
AMERICAN JOURNAL OF PSYCHIATRIC REHABILITATION
影响因子：
--
作者：
Bartholomew, Tom;Kensler, David
通讯作者：
Kensler, David
影响因子：
3.8
作者：
Hasson-Ohayon, Ilanit;Roe, David;Kravetz, Shlomo
通讯作者：
Kravetz, Shlomo