A 6-Month Randomized Controlled Pilot Study on the Effects of the Clubhouse Model of Psychosocial Rehabilitation with Chinese Individuals with Schizophrenia
A 6-Month Randomized Controlled Pilot Study on the Effects of the Clubhouse Model of Psychosocial Rehabilitation with Chinese Individuals with Schizophrenia
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DOI：
10.1007/s10488-019-00976-5
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发表时间：
2019-10-15
影响因子：
2.6
通讯作者：
Mo, Xiaohong
中科院分区：
文献类型：
--
作者：
Chen, Ying;Yau, Eva;Mo, Xiaohong
目的：探讨心理社会康复俱乐部模式对社区精神分裂症患者心理社会功能及康复的影响。采用随机对照设计。从社区样本中招募了56名参与者进行为期6个月的研究，但有5名参与者退出了研究。28名参与者参加了俱乐部项目，23名参与者作为对照。在基线和6个月的随访中，对三个方面进行标准化评估：1.症状减轻；2.社会功能、自我决定和生活质量；3.再住院率。与对照组相比，俱乐部成员的精神症状有所减少，社会功能、自我决定力和生活质量有所改善(p<；0.05)，但俱乐部成员和对照组之间的再住院率没有差异。会所模式证明了其有效性，并显示了其作为内地中国精神分裂症患者心理社会康复服务提供模式的可行性。
To investigate the effectiveness of the Clubhouse Model of Psychosocial Rehabilitation on psychosocial functions and recovery of native Chinese individuals with schizophrenia in a community sample. A randomized controlled design was used. A total of 56 participants were recruited from a community sample for a study lasting 6 months, but five participants dropped out. Twenty-eight participants attended the Clubhouse program, and twenty-three participants served as controls. Standardized assessments were performed on three areas at the baseline and the 6-month follow-up: 1. symptom reduction; 2. social function, self-determination, and quality of life; and 3. rehospitalization rate. Compared to the controls, the Clubhouse participants showed reductions in psychiatric symptoms and better social function, self-determination, and quality of life (p < .05), but with no difference in the rehospitalization rate between Clubhouse members and the controls. The Clubhouse Model demonstrates its effectiveness and shows its viability as a service delivery model in psychosocial rehabilitation for individuals with schizophrenia in mainland China.