Functional Adaptation Skills Training (FAST) - A pilot psychosocial intervention study in middle-aged and older patients with chronic psychotic disorders
Functional Adaptation Skills Training (FAST) - A pilot psychosocial intervention study in middle-aged and older patients with chronic psychotic disorders
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DOI：
10.1176/appi.ajgp.11.1.17
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发表时间：
2003-01-01
影响因子：
7.2
通讯作者：
Jeste, DV
中科院分区：
文献类型：
--
作者：
Patterson, TL;McKibbin, C;Jeste, DV
发展行为干预以改善患有精神分裂症和其他慢性精神病的老年患者的功能，有可能显着提高患者的独立性和生活质量。研究方法：作者评价了一种旨在改善患有非常慢性精神障碍的中老年门诊患者（平均病程：21年）日常生活技能的社会心理干预。居住在寄宿护理机构的40名患者被随机分配到24次功能适应技能培训（FAST）团体治疗计划，该计划针对之前工作中确定的对该人群有问题的问题领域（例如，使用公共交通工具）或照常治疗。几乎所有的参与者也接受了抗精神病药物。结果如下：与随机分配至常规治疗组的患者相比，FAST治疗组患者的日常生活技能表现在干预后立即显著改善，并且在3个月的维持随访期内仍然显著更好。精神病理学无显著变化。结论：结果表明，老年患者长期精神障碍可能会受益于参与这项技能培训计划。
Developing behavioral interventions to improve functioning of older patients with schizophrenia and other chronic psychoses has the potential to significantly increase the patients' independence and quality of life. Methods: The authors evaluated a psychosocial intervention designed to improve everyday living skills of middle-aged and older outpatients with very chronic psychotic disorders (mean duration of illness: 21 years). Forty patients who resided in board-and-care facilities were randomly assigned to either a 24-session functional adaptation skills training (FAST) group therapy program targeting problem areas identified in previous work as being problematic for this population (e.g., using public transportation) or treatment-as-usual. Almost all the participants also received antipsychotics. Results: Compared with the patients randomized to the treatment-as-usual condition, FAST-treated patients' performance on everyday living skills improved significantly immediately post-intervention and was still significantly better at a 3-month maintenance follow-up period. There was no significant change in psychopathology. Conclusion: Results suggest that older patients with longstanding psychotic disorders may benefit from participation in this skills-training program.