Enhancing social functioning in young people at Ultra High Risk (UHR) for psychosis: A pilot study of a novel strengths and mindfulness-based online social therapy
Enhancing social functioning in young people at Ultra High Risk (UHR) for psychosis: A pilot study of a novel strengths and mindfulness-based online social therapy
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DOI：
10.1016/j.schres.2018.07.022
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发表时间：
2018-12-01
影响因子：
4.5
通讯作者：
Nelson, B.
中科院分区：
文献类型：
--
作者：
Alvarez-Jimenez, M.;Gleeson, J. F.;Nelson, B.
背景资料：心理和药物治疗已被证明可以降低超高风险（UHR）年轻人向精神病转变的比率。然而，社会功能缺陷一直没有回应目前的治疗。目的：本研究的目的是：i）描述一种针对UHR年轻人社会功能的新型干预措施的理论基础和治疗目标; ii）检查其可接受性，安全性和对社会功能的初步影响。方法：一个国际多学科团队开发了一种新的干预措施（MOMENTUM），以改善UHR年轻人的社会功能。MOMENTUM融合了两种新的社会恢复方法：嵌入社交媒体环境中的优势和基于正念的干预，以及动机的自决理论的应用。MOMENTUM的可接受性和安全性进行了测试，通过一个为期2个月的试点研究与14 UHR participator.Results：系统的使用率很高，超过70%的用户积极参与了试验。所有参与者都报告了使用MOMENTUM的积极体验，认为它是安全的，并会推荐给其他人。93%的人认为这是有帮助的。在社会功能方面有较大的可靠改善（d = 1.83）。p < 0.001）和随访时的主观幸福感（d = 0.75，p = 0.03）。有显着增加的干预措施，包括优势的使用（d = 0.70，p = 0.03），正念技能（d = 0.66，p = 0.04）和社会支持的组成部分的机制。社会功能的改善显着相关的指标系统usage.Conclusion：MOMENTUM是从事和安全。MOMENTUM似乎参与了假设的机制，并显示出作为改善UHR年轻人社会功能的新途径的希望。(C)2018由Elsevier B. V.出版
Background: Psychological and pharmacological treatments have been shown to reduce rates of transition to psychosis in Ultra High Risk (UHR) young people. However, social functioning deficits have been unresponsive to current treatments.Aims: The study aims were to: i) describe the theoretical basis and therapeutic targets of a novel intervention targeting social functioning in UHR young people; and ii) examine its acceptability, safety and preliminary effect on social functioning.Methods: An international, multidisciplinary team developed a new intervention (MOMENTUM) to improve social functioning in UHR young people. MOMENTUM blends two novel approaches to social recovery: strengths and mindfulness-based intervention embedded within a social media environment, and application of the self-determination theory of motivation. The acceptability and safety of MOMENTUM were tested through a 2-month pilot study with 14 UHR participants.Results: System usage was high, with over 70% of users being actively engaged over the trial. All participants reported a positive experience using MOMENTUM, considered it safe and would recommend it to others. 93% reported it to be helpful. There were large, reliable improvements in social functioning (d = 1.83. p < 0.001) and subjective wellbeing (d = 0.75, p = 0.03) at follow-up. There were significant increases in the mechanisms targeted by the intervention including strengths usage (d = 0.70, p = 0.03), mindfulness skills (d = 0.66, p = 0.04) and components of social support. Social functioning improvement was significantly correlated with indicators of system usage.Conclusion: MOMENTUM is engaging and safe. MOMENTUM appeared to engage the hypothesized mechanisms and showed promise as a new avenue to improve social functioning in UHR young people. (C) 2018 Published by Elsevier B.V.