Bipolar disorder and family communication: effects of a psychoeducational treatment program.
Bipolar disorder and family communication: effects of a psychoeducational treatment program.
复制标题
双相情感障碍和家庭沟通：心理教育治疗计划的影响。
DOI：
10.1037//0021-843x.108.4.588
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发表时间：
1999
影响因子：
4.6
通讯作者：
George,EL
中科院分区：
文献类型：
--
作者：
Simoneau,TL;Miklowitz,DJ;Richards,JA;Saleem,R;George,EL
家庭心理教育项目是精神分裂症和双相情感障碍患者药物治疗的有效辅助手段，但人们对这些项目对家庭的改变知之甚少。作者评估了双相情感障碍患者家庭一年内面对面互动行为的变化，这些患者接受了为期 9 个月的以家庭为中心的心理教育治疗 (FFT; n= 22) 或自然随访危机管理 (CMNF; n= 22)，两者均采用维持药物治疗。在治疗后一年的问题解决评估中，接受 FFT 的家庭成员比接受 CMNF 的家庭表现出更积极的非语言互动行为，尽管消极互动行为没有相应减少。家庭治疗对患者一年多的症状轨迹的积极影响部分是由患者在同一时间段内积极的非语言互动行为的增加所介导的。
Family psychoeducational programs are efficacious adjuncts to pharmacotherapy for patients with schizophrenic and bipolar disorders, but little is known about what these programs change about families. The authors assessed changes in face-to-face interactional behavior over 1 year among families of bipolar patients who received a 9-month family-focused psychoeducational therapy (FFT; n= 22) or crisis management with naturalistic follow-up (CMNF; n= 22), both administered with maintenance pharmacotherapy. Members of families who received FFT showed more positive nonverbal interactional behavior during a 1-year posttreatment problem-solving assessment than families who received CMNF, although no corresponding decreases were seen in negative interactional behaviors. The positive effect of family treatment on patients' symptom trajectories over 1 year was partially mediated by increases in patients' positive nonverbal interactional behaviors during this same interval.