The Preliminary Efficacy of a Program to Facilitate Benefit Finding for People with Mental Illness: A Pilot Randomized Controlled Trial in Japan.
The Preliminary Efficacy of a Program to Facilitate Benefit Finding for People with Mental Illness: A Pilot Randomized Controlled Trial in Japan.
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DOI：
10.3390/healthcare10081491
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发表时间：
2022-08-08
期刊：
影响因子：
2.8
通讯作者：
Miyamoto, Yuki
中科院分区：
文献类型：
--
作者：
Chiba, Rie;Funakoshi, Akiko;Miyamoto, Yuki
关键词：
效益发现是指从压力性生活事件的负面体验中发现积极的变化或效益。本研究旨在开发一种新的干预方案，以促进精神疾病患者的利益发现，并从试点数据中检查其可行性和初步疗效。我们假设，与对照组的参与者相比，加入基于小组的干预计划的参与者将在利益发现，个人恢复和幸福感方面取得进展，以及减轻精神症状和功能障碍。干预组的参与者加入了一个新的计划，该计划侧重于（1）认知行为压力管理和（2）自己的经历，包括自精神疾病发作以来在生活中发现或实现的事情。该计划使用了一个由八个90分钟的会议组成的练习册，每周举行一次。24名患者被认为合格并提供了参与研究的知情同意书。约46%为男性，平均年龄为42.5岁。大约63%被诊断为精神分裂症。随着时间的推移，我们没有发现组间的显著差异。然而，每个尺度或至少一个子尺度（即，受益发现、个人恢复、主观幸福感、精神症状和功能障碍）。未来的研究，更多的参与者从不同的设置将是必要的，以准确地检查干预计划的有效性。
Benefit finding is a concept that refers to finding positive changes or benefits through negative experiences from stressful life events. The present study aimed to develop a new intervention program to facilitate benefit finding for people with mental illness and examine its feasibility and preliminary efficacy from pilot data. We hypothesized that participants who joined the group-based intervention program would show progress in benefit finding, personal recovery, and well-being, as well as alleviated psychiatric symptoms and functional impairment, compared to participants in the control group. The participants in the intervention group joined in a new program which focuses on (1) cognitive–behavioral stress management and (2) own experiences, including what was found or realized through their lives since the onset of mental illness. The program used a workbook comprised of eight 90-min sessions, with one held every week. Twenty-four were found eligible and provided informed consent to participate in the study. About 46% were males, and the average age was 42.5 years. Around 63% were diagnosed with schizophrenia. We did not find significant differences over time by groups. However, medium to large effects in each scale or at least one subscale (i.e., benefit finding, personal recovery, subjective well-being, and psychiatric symptoms and functional impairment) were observed. Future studies with more participants from various settings would be necessary to exactingly examine the effectiveness of the intervention program.
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