Life and treatment goals of individuals hospitalized for first-episode nonaffective psychosis.
Life and treatment goals of individuals hospitalized for first-episode nonaffective psychosis.
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DOI：
10.1016/j.psychres.2011.05.039
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发表时间：
2011-10-30
影响因子：
11.3
通讯作者：
Compton, Michael T.
中科院分区：
文献类型：
--
作者：
Ramsay, Claire E.;Broussard, Beth;Goulding, Sandra M.;Cristofaro, Sarah;Hall, Dustin;Kaslow, Nadine J.;Killackey, Eoin;Penn, David;Compton, Michael T.
首发精神病通常出现在青春期晚期或青年期，打断了重要的教育、职业和社会里程碑的成就。以康复为导向的治疗方法可能特别适用于疾病的这一关键阶段，但需要对这一阶段个人的生活和治疗目标进行更多的研究。采用开放式问题，从美国东南部城市公共部门的100名首发精神病住院患者样本中引出生活和治疗目标。就业、教育、人际关系、住房、健康、交通是最常见的人生目标。当被问及治疗目标时，参与者的回答包括想要药物管理，减少令人不安的症状，不确定性，只想要好起来，参加咨询，关注他们的身体健康。在回答有关具体服务的问题时，大多数人表示希望获得职业和教育服务以及症状和药物滥用方面的援助。这些发现是根据新兴的或最近先进的治疗范例来解释和讨论的，这些范例包括康复和赋权、共同决策、社区和社会重返以及特定阶段的社会心理治疗。这些范例的整合可能会促进以康复为导向的早期社会心理干预，如支持就业和支持教育，针对首发精神病。
First-episode psychosis typically emerges during late adolescence or young adulthood, interrupting achievement of crucial educational, occupational, and social milestones. Recoveryoriented approaches to treatment may be particularly applicable to this critical phase of the illness, but more research is needed on the life and treatment goals of individuals at this stage. Open-ended questions were used to elicit life and treatment goals from a sample of 100 people hospitalized for first-episode psychosis in an urban, public-sector setting in the southeastern United States. Employment, education, relationships, housing, health, transportation were the most frequently stated life goals. When asked about treatment goals, participants' responses included wanting medication management, reducing troubling symptoms, uncertainty, a desire to simply be well, engaging in counseling, and attending to their physical health. In response to queries about specific services, most indicated a desire for both vocational and educational services, as well as assistance with symptom and drug abuse. These findings are interpreted and discussed in light of emerging or recently advanced treatment paradigms—recovery and empowerment, shared decision-making, community and social reintegration, and phase-specific psychosocial treatment. Integration of these paradigms would likely promote recovery-oriented tailoring of early psychosocial interventions, such as supported employment and supported education, for first-episode psychosis.
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影响因子：
4.4
作者：
Svedberg, B;Mesterton, A;Cullberg, J
通讯作者：
Cullberg, J
DOI：
10.1016/j.jbtep.2008.02.003
发表时间：
2009-03-01
影响因子：
1.8
作者：
Tsang, Hector W. H.;Fung, Kelvin M. T.;Corrigan, Patrick W.
通讯作者：
Corrigan, Patrick W.
DOI：
10.1007/bf02191811
发表时间：
1995-12-01
影响因子：
4.7
作者：
HAFNER, H;NOWOTNY, B;MAURER, K
通讯作者：
MAURER, K
影响因子：
6.6
作者：
COURSEY, RD;KELLER, AB;FARRELL, EW
通讯作者：
FARRELL, EW
DOI：
10.1300/j045v16n01_10
发表时间：
2002-01-01
期刊：
Journal of health & social policy
影响因子：
--
作者：
Haynes, Norris M
通讯作者：
Haynes, Norris M