Illness management and recovery: a review of the literature.
Illness management and recovery: a review of the literature.
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DOI：
10.1176/appi.ps.201200274
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发表时间：
2014-02-01
期刊：
影响因子：
--
通讯作者：
Salyers MP
中科院分区：
文献类型：
--
作者：
McGuire AB;Kukla M;Green A;Gilbride D;Mueser KT;Salyers MP
疾病管理和康复（IMR）是一种标准化的心理社会干预，旨在帮助患有严重精神疾病的人管理他们的疾病并实现个人康复目标。这篇文献综述总结了IMR的消费者层面的影响和文章描述其实施的研究。2011年，作者使用关键词“疾病管理和恢复”、“健康管理和恢复”或“IMR”AND（“精神分裂症”或“双相情感障碍”或“抑郁症”或“恢复”或“心理健康”）对Embase、MEDLINE、PsycINFO、CINAHL和科克伦图书馆进行了文献检索。引用两篇开创性IMR文章的出版物也指导了对来源的进一步探索。未明确涉及IMR或直接改编的文章被排除。已经进行了三项随机对照试验（RCT）、三项准对照试验和三项前后试验。随机对照试验发现，接受IMR的消费者在IMR量表（IMRS）上的得分比接受常规治疗的消费者显著改善。IMR消费者的临床医生的IMRS评级和独立观察者的精神症状评级也得到了更多的改善。实施研究（N=16）确定了IMR的几个重要障碍和促进因素，包括监督和机构支持。实施结果，如参与率和忠诚度，差异很大。IMR显示出改善一些消费者层面结果的希望。关于执行的重要问题需要进一步研究。未来的研究需要比较IMR消费者和积极控制组的结果，并提供更详细的了解消费者使用的其他服务可能会影响IMR的结果。
Illness Management and Recovery (IMR) is a standardized psychosocial intervention that is designed to help people with severe mental illness manage their illness and achieve personal recovery goals. This literature review summarizes the research on consumer-level effects of IMR and articles describing its implementation. In 2011, the authors conducted a literature search of Embase, MEDLINE, PsycINFO, CINAHL, and the Cochrane Library by using the key words “illness management and recovery,” “wellness management and recovery,” or “IMR” AND (“schizophrenia” OR “bipolar” OR “depression” OR “recovery” OR “mental health”). Publications that cited two seminal IMR articles also guided further exploration of sources. Articles that did not deal explicitly with IMR or a direct adaptation were excluded. Three randomized-controlled trials (RCTs), three quasi-controlled trials, and three pre-post trials have been conducted. The RCTs found that consumers receiving IMR reported significantly more improved scores on the IMR Scale (IMRS) than consumers who received treatment as usual. IMRS ratings by clinicians and ratings of psychiatric symptoms by independent observers were also more improved for the IMR consumers. Implementation studies (N=16) identified several important barriers to and facilitators of IMR, including supervision and agency support. Implementation outcomes, such as participation rates and fidelity, varied widely. IMR shows promise for improving some consumer-level outcomes. Important issues regarding implementation require additional study. Future research is needed to compare outcomes of IMR consumers and active control groups and to provide a more detailed understanding of how other services utilized by consumers may affect outcomes of IMR.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
3.8
作者：
McHugo, Gregory J.;Drake, Robert E.;Finnerty, Molly T.
通讯作者：
Finnerty, Molly T.
影响因子：
3.8
作者：
Fujita, Emi;Kato, Daiji;Hirayasu, Yoshio
通讯作者：
Hirayasu, Yoshio
DOI：
10.1080/15487761003756977
发表时间：
2010-01-01
期刊：
AMERICAN JOURNAL OF PSYCHIATRIC REHABILITATION
影响因子：
--
作者：
Bartholomew, Tom;Kensler, David
通讯作者：
Kensler, David
影响因子：
3.8
作者：
Isett, Kimberley R.;Burnam, M. Audrey;Goldman, Howard H.
通讯作者：
Goldman, Howard H.