Effect of combining motivational interviewing with cognitive remediation on personal recovery in patients with schizophrenia.
Effect of combining motivational interviewing with cognitive remediation on personal recovery in patients with schizophrenia.
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DOI：
10.1177/15691861231167504
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发表时间：
2023-06
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--
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中科院分区：
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我们已经在一家精神病院实践了神经心理学和教育补救方法（NEAR）作为认知补救（CR），并在NEAR启动约2年后将其与基于动机访谈（MI）的定期访谈相结合。在这项研究中，我们通过分析医疗记录，调查了心肌梗死联合CR是否会影响精神分裂症患者的计划完成、认知功能、整体功能和个人康复。在这项回顾性观察性研究中，14名参与者被分配到NEAR组，12名参与者被分配到NEAR + MI组。NEAR组（n = 6）和NEAR + MI组（n = 9）的15名参与者完成了该计划。首先，使用卡方检验检验两组之间完成率的差异。其次，使用Wilcoxon sign -rank测试对每组完成方案的人进行干预前后的认知功能、整体功能和个人恢复测量。第三，使用Mann-Whitney U检验比较各组的治疗反应。两组之间的完成率无统计学差异。在NEAR组中，言语记忆和整体认知在干预后得到改善。另一方面，NEAR + MI组不仅认知功能改善，整体功能和个人恢复也有所改善。此外，NEAR + MI组的整体功能和个人恢复的变化明显更高。研究结果表明，心肌梗死联合CR可改善精神分裂症患者的认知功能、整体功能和个人恢复。
We have been practising the Neuropsychological and Educational Approach to Remediation (NEAR) as cognitive remediation (CR) in a psychiatric hospital and have implemented it in combination with regular interviews based on Motivational Interviewing (MI) approximately 2 years after launching NEAR. In this study, we investigated whether combining MI with CR affected completion of the programme, cognitive functions, global functioning, and personal recovery of patients with schizophrenia by analysing medical records. In this retrospective observational study, 14 participants were assigned to the NEAR group and 12 participants were assigned to the NEAR + MI group. Fifteen participants in the NEAR group (n = 6) and NEAR + MI group (n = 9) completed the programme. First, the difference in the completion rate between the groups was examined using the chi-squared test. Second, measures of cognitive functions, global functioning, and personal recovery pre-and post-intervention were examined using the Wilcoxon signed-rank tests for those in each group who completed the programme. Third, therapeutic responses for each group were compared using the Mann–Whitney U tests. There were no statistically significant differences in completion rates between the groups. In the NEAR group, verbal memory and overall cognition improved after the intervention. On the other hand, not only cognitive functions but also global functioning and personal recovery improved in the NEAR + MI group. Moreover, changes in global functioning and personal recovery were significantly higher in the NEAR + MI group. Study findings indicated that combining MI with CR improves cognitive functions, global functioning, and personal recovery in patients with schizophrenia.
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