The Illness Management and Recovery program: Rationale, development, and preliminary findings
The Illness Management and Recovery program: Rationale, development, and preliminary findings
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DOI：
10.1093/schbul/sbl022
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发表时间：
2006-10-01
影响因子：
6.6
通讯作者：
Salyers, Michelle P.
中科院分区：
文献类型：
--
作者：
Mueser, Kim T.;Meyer, Piper S.;Salyers, Michelle P.
疾病管理和康复方案是根据对向精神分裂症和其他严重精神疾病患者教授疾病自我管理策略的研究进行的全面审查制定的，并“打包”在一个资源包中，以促进传播。尽管这一方案的传播日益广泛，但尚未得到经验验证。本文介绍了IMR项目的发展和理论基础，并介绍了来自美国和澳大利亚（N = 24，88%的精神分裂症或情感障碍）的试点数据，对基于个人和基于团体的治疗在9个月的计划和3个月的随访。与会者表示非常满意。在治疗和随访期间，发现客户自我报告的应对症状的有效性和临床医生报告的全球功能以及对精神疾病的了解，与症状相关的痛苦，希望和目标定向的中度改善。这些发现支持IMR计划的可行性和前景，并指出需要进行对照研究以严格评估其效果。
The Illness Management and Recovery (IMR) program was developed based on a comprehensive review of research on teaching illness self-management strategies to clients with schizophrenia and other severe mental illnesses and "packaged" in a resource kit to facilitate dissemination. Despite growing dissemination of this program, it has not yet been empirically validated. This article describes the development and theoretical underpinnings of the IMR program and presents pilot data from the United States and Australia (N = 24, 88% schizophrenia or schizoaffective) on the effects of individual-based and group-based treatment over the 9-month program and over a 3-month follow-up. High satisfaction was reported by participants. Strong improvements over treatment and at follow-up were found in clients' self-reported effectiveness in coping with symptoms and clinicians' reports of global functioning and moderate improvements in knowledge about mental illness, distress related to symptoms, hope, and goal orientation. These findings support the feasibility and promise of the IMR program and point to the need for controlled research to rigorously evaluate its effects.