Integrating cognitive-behavioral psychotherapy for persons with schizophrenia into a psychiatric rehabilitation program: Results of a three year trial
Integrating cognitive-behavioral psychotherapy for persons with schizophrenia into a psychiatric rehabilitation program: Results of a three year trial
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DOI：
10.1023/a:1001911730268
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发表时间：
2000-10-01
影响因子：
2.7
通讯作者：
Bradshaw, W
中科院分区：
文献类型：
--
作者：
Bradshaw, W
认知-行为治疗(CBT)的新兴模式为精神分裂症的心理治疗提供了有希望的新干预策略。然而，这些模式还没有被整合到社区支持计划中，并与标准的社区治疗相比进行了评估。这项研究考察了接受长期日间治疗计划服务(DTP)的患者与接受作为DTP治疗一部分的个别CBT的患者结果的差异。24名患者被随机分配到DTP治疗或CBT/DTP治疗。在三年的治疗过程中，收集了心理社会功能、症状类型和再住院的标准化测量数据。用重复测量进行方差分析，以评估治疗类型(CBT/DTP和DTP)和时间(在治疗第一、二、三年末进行因变量评分)对三个结果变量的影响。结果表明，与DTP组相比，CBT/DTP组在心理社会功能和症状方面的变化模式随着时间的推移而显著改善。除了这种显着的群体/时间交互作用，时间因素对这两个变量也是显着的。对于再住院患者，时间因素显着，而组/时间因素不显着。讨论了对精神分裂症患者提供服务的意义以及对未来研究的建议。
Emerging models of cognitive-behavioral treatment (CBT) offer promising new intervention strategies in the psychotherapy of schizophrenia. These models, however,have not been integrated into community support programs and evaluated in comparison to standard community treatments. This study examined differences in outcomes of clients who received long-term day treatment program services (DTP) compared to clients who received individual CBT that was included as part of their DTP treatment. Twenty-four clients were randomly assigned to DTP treatment or CBT/ DTP treatment. Data on standardized measures of psychosocial functioning, symptom atology and rehospitalizations were collected over the course of three years of treatment. Analysis of variance with repeated measures was conducted to evaluate the effects of type of treatment (CBT/DTP and DTP) and time (dependent variable scores taken at the end of treatment years one, two and three) on the three outcome variables. Results indicate significant improvement for the CBT/DTP group compared to the DTP group in the patterns of change over time for psychosocial functioning and symptomology. In addition to this significant group/time interaction the time factor was also significant for both variables. For rehospitalizations the time factor was significant and the group/ time factor was nonsignificant. Implications for service delivery to persons with schizophrenia and suggestions for future research are discussed.