Evaluation of a community-based rehabilitation model for chronic schizophrenia in rural India
Evaluation of a community-based rehabilitation model for chronic schizophrenia in rural India
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DOI：
10.1192/bjp.182.1.57
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发表时间：
2003-01-01
影响因子：
10.5
通讯作者：
Weiss, HA
中科院分区：
文献类型：
--
作者：
Chatterjee, S;Patel, V;Weiss, HA
背景印度估计有1 000万精神分裂症患者，其中大多数人没有社区服务。基于社区的康复（CBR）是一种护理模式，已被广泛用于在资源匮乏的环境中的身体残疾。比较CBR与门诊治疗（OPC）精神分裂症在印度资源匮乏的环境。慢性精神分裂症患者结局的纵向研究对比CBR和OPC在12个月时使用阳性和阴性症状量表和修订的WHO残疾评估表评估结果。共有207名参与者进入研究，其中CBR组127名，OPC组80名。在117名完全依从的参与者中，CBR模式在减少残疾方面更有效，特别是在男性中。在CBR组中，与部分依从或无投诉的参与者相比，依从参与者的结局明显更好（P <0.001）。虽然CBR组的受试者在社会上处于更不利的地位，但他们在治疗中有更好的保留。社区康复模式是一种可行的模式，照顾慢性精神分裂症在资源匮乏的设置。没有。资金详情见鸣谢。
Background. There are no community services for the majority of the estimated 10 million persons with schizophrenia in India. Community-based rehabilitation (CBR) is a model of care which has been widely used for physical disabilities in resource-poor settings.Aims. To compare CBR with out-patient care (OPC) for schizophrenia in a resource-poor setting in India.Method. A longitudinal study of outcome in patients with chronic schizophrenia contrasted CBR with OPC. Outcome measures were assessed using the Positive and Negative Symptom Scale and the modified WHO Disability Assessment Schedule at 12 months.Results. Altogether, 207 participants entered the study, 127 in the CBR group and 80 in the OPC group. Among the 117 fully compliant participants the CBR model was more effective in reducing disability, especially in men. Within the CBR group, compliant participants had significantly better outcomes compared with partially compliant or non-complaint participants (P < 0.001). Although the subjects in the CBR group were more socially disadvantaged, they had significantly better retention in treatment.Conclusions. The CBR model is a feasible model of care for chronic schizophrenia in resource-poor settings.Declaration of interest. None. Funding detailed in Acknowledgements.