CBT and Recovery From Psychosis in the ISREP Trial: Mediating Effects of Hope and Positive Beliefs on Activity
CBT and Recovery From Psychosis in the ISREP Trial: Mediating Effects of Hope and Positive Beliefs on Activity
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DOI：
10.1176/ps.2010.61.3.321
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发表时间：
2010-03-01
影响因子：
3.8
通讯作者：
Fowler, David
中科院分区：
文献类型：
--
作者：
Hodgekins, Joanne;Fowler, David
目的：希望和积极的自我概念是精神病康复的重要组成部分。本研究调查了以恢复为重点的干预措施对这些方面的影响，以及它们作为功能结果中介的作用。研究方法：77名精神病康复者被招募到一项以社会康复为中心的认知行为治疗（SRCBT）的随机对照试验中。主要结果是每周在结构化活动中花费的时间。绝望和对自己和他人的信念也进行了评估。结果：SRCBT对提高自我和他人的积极信念有显著效果。一种趋势表明SRCBT对减少非情感性精神病患者的绝望感有主要作用。在SRCBT组中，对自我的积极信念的增加被发现介导了活动的改善。结论：培养希望和积极的自我概念应该是面向恢复的服务和干预的中心组成部分。修改这些尺寸可能会对功能结果产生积极影响。（精神病学服务61：321-324，2010）
Objective: Hope and positive self-concept have been highlighted as important components of recovery from psychosis. This study investigated the impact of a recovery-focused intervention on these dimensions, as well as their role as mediators of functional outcome. Methods: Seventy-seven participants in recovery from psychosis were recruited into a randomized controlled trial of social recovery-focused cognitive-behavioral therapy (SRCBT). The primary outcome was hours spent weekly in structured activity. Hopelessness and beliefs about self and others were also assessed. Results: SRCBT had a significant effect on improving positive beliefs about self and others. A trend was noted suggesting a main effect of SRCBT on reducing hopelessness among individuals with nonaffective psychosis. Increases in positive beliefs about self were found to mediate improvements in activity in the SRCBT group. Conclusions: Fostering hope and positive self-concept should be central components of recovery-oriented services and interventions. Modifying these dimensions may have a positive impact on functional outcome. (Psychiatric Services 61: 321-324, 2010)