Group Cognitive Behavior Therapy or Social Skills Training for Individuals With a Recent Onset of Psychosis? Results of a Randomized Controlled Trial
Group Cognitive Behavior Therapy or Social Skills Training for Individuals With a Recent Onset of Psychosis? Results of a Randomized Controlled Trial
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DOI：
10.1097/nmd.0b013e31818ee231
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发表时间：
2008-12-01
影响因子：
1.9
通讯作者：
Spidel, Alicia
中科院分区：
文献类型：
--
作者：
Lecomte, Tania;Leclerc, Claude;Spidel, Alicia
本研究旨在确定团体认知行为疗法（CBT）与公认的严重精神疾病患者社会技能训练干预措施相比，对新近发作精神病的有效性。129名参与者参加了一项单盲随机对照试验，重复测量（基线，3个月和9个月）。参与者被随机分配到3个条件中的一个：CBT组，用于症状管理的团体社交技能培训，或等待列表对照组。这两种干预措施都是由受过最低限度培训的精神卫生工作人员提供的。与等待名单对照组相比，两种治疗均导致阳性和阴性症状的改善，随着时间的推移，CBT组对整体症状有显着影响，与等待名单对照组相比，CBT组对自尊和积极应对技能的治疗后影响以及比技能培训组更低的辍学率。两种治疗条件下治疗师的忠诚度均足够。精神病团体CBT对于近期出现精神病的个人及其心理健康专业人员来说是一种很有前途的干预措施。
This study aimed at determining the effectiveness of group cognitive behavior therapy (CBT) for recent onset psychosis in comparison with a recognized intervention for individuals with severe mental illness-social skills training. One hundred twenty-nine participants took part in a single-blind randomized controlled trial with repeated measures (baseline, 3 months, and 9 months). Participants were randomized to I of 3 conditions: group CBT, group social skills training for symptom management, or a wait-list control group. Both interventions were delivered by mental health staff with minimal training. Both treatments resulted in improvements on positive and negative symptoms compared with the wait-list control group, with the CBT group having significant effects over time on overall symptoms, and post-treatment effects on self-esteem, and active coping skills compared with the wait-list control group and lower drop-out rates than the skills training group. Therapist fidelity was adequate for both treatment conditions. Group CBT for psychosis is a promising intervention for individuals with recent onset of psychosis and their mental health professionals.