The therapeutic alliance and family psychoeducation in the treatment of schizophrenia: an exploratory prospective change process study.
The therapeutic alliance and family psychoeducation in the treatment of schizophrenia: an exploratory prospective change process study.
复制标题
精神分裂症治疗中的治疗联盟和家庭心理教育：一项探索性前瞻性改变过程研究。
DOI：
10.1037/0022-006x.76.3.505
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发表时间：
2008
影响因子：
5.9
通讯作者：
Rosenfarb,IrwinS
中科院分区：
文献类型：
--
作者：
Smerud,PhyllisE;Rosenfarb,IrwinS
虽然家庭心理教育已被证明是非常有效的精神分裂症的治疗，治疗的成功的机制知之甚少。研究行为家庭管理（BFM）中的治疗联盟，以确定该联盟是否在这种治疗的疗效中发挥作用。一个早期的BFM会议（平均会议= 6.5），涉及28名精神分裂症患者和他们的亲属参加了美国国家精神卫生研究所的精神分裂症的治疗策略研究编码使用系统观察家庭治疗联盟。结果表明，当亲属形成积极的治疗联盟时，患者不太可能表现出复发的前驱体征，并在2年的随访期内再次住院。当患者形成积极的联盟时，亲属变得不那么排斥，并且在2年内不太可能感到负担。这些数据表明，家庭心理教育中积极的治疗联盟的发展可能在预防精神病症状的升级和改善家庭关系方面发挥重要作用。
Although family psychoeducation has been shown to be highly efficacious in the treatment of schizophrenia, the mechanisms underlying the treatment's success are poorly understood. The therapeutic alliance in behavioral family management (BFM) was examined to determine whether the alliance plays a role in the efficacy of this treatment. One early BFM session (mean session= 6.5) involving 28 schizophrenia patients and their relatives who participated in the National Institute of Mental Health's Treatment Strategies in Schizophrenia study was coded using the System for Observing Family Therapy Alliances. Results indicated that when relatives developed a positive therapeutic alliance, patients were less likely to show prodromal signs of relapse and be rehospitalized over a 2-year follow-up period. When patients developed a positive alliance, relatives became less rejecting and were less likely to feel burdened over a 2-year period. The data suggest that the development of a positive therapeutic alliance within family psychoeducation may play an important role in preventing the escalation of psychotic symptoms and improving family relationships.