Wirksamkeit und Prozessmerkmale einer psychoedukativen und bewältigungsorientierten Gruppentherapie für schizophren und schizoaffektiv Erkrankte
Wirksamkeit und Prozessmerkmale einer psychoedukativen und bewältigungsorientierten Gruppentherapie für schizophren und schizoaffektiv Erkrankte
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精神分裂症和精神分裂症的团体治疗和精神教育的健康和进步
DOI：
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发表时间：
2003
期刊：
影响因子：
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通讯作者：
H. Brenner
中科院分区：
文献类型：
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作者：
A. Fries;M. Pfammatter;A. Andres;H. Brenner
背景：心理教育是精神分裂症患者心理治疗的核心内容。它在家庭环境中的应用已得到深入研究和充分确立。在没有亲属参与的情况下，关于其有效性的经验数据很少。患者和方法：在一项随机对照试验中，以心理教育应对为导向的群体治疗对精神分裂症和分裂情感患者的效果和过程质量与提供支持性讨论和问题解决培训的对照组进行比较。结果：两组在治疗结束和一年随访时均表现出明显的精神病理减少和对疾病的认知改善。此外，在治疗后的第一年，与对照组相比，以应对为导向的治疗减少了复发率和住院天数。在过程-结果-关系方面，患者认为良好的治疗关系与心理教育、应对导向干预的成功相关。相反，支持治疗的患者在治疗结束时表现出最高程度的精神病理，在这种治疗中感觉更舒服。对治疗过程质量的其他评估也显示出与治疗结束时的结果有很强的关系。这些关系在两个治疗组之间有所不同。讨论：一方面，我们的研究结果表明，患者对治疗关系质量的评价决定了心理教育，应对导向治疗的成功。另一方面，持续症状较重的患者可能更倾向于不太结构化的支持治疗方法。因此，在今后的精神分裂症患者心理治疗研究中，应注重建立良好的治疗关系，明确不同的适应症标准，以提高心理治疗方法的疗效。
Outcome and Process Characteristics of a Psychoeducational, Coping Oriented Group Therapy for Schizophrenia and Schizoaffective Patients Background: Psychoeducation is a core element in psychological therapy for schizophrenics. Its application has been intensively studied and well established in the family setting. Empirical data concerning its efficacy without involvement of relatives are scarce. Patients and Methods: In a randomized controlled trial, effects and process quality of a psychoeducational coping oriented group therapy for schizophrenia and schizoaffective patients were compared to those of a control group in which supportive discussions and training in problem solving were offered. Results: Both groups showed clear reductions in psychopathology and improved cognitive coping with the illness at completion of the therapy and at one-year follow-up. In addition, coping oriented therapy reduced relapse rates and days in hospital compared to the control group during the first year after therapy. Regarding process-outcome-relations a good therapeutic relationship, as perceived by the patients, was associated with the success of the psychoeducational, coping oriented intervention. In contrast, those patients of the supportive therapy who demonstrated the highest degree of psychopathology at the end of therapy, felt more comfortable in this treatment. Other assessments of the quality of the therapeutic process also revealed strong relations to the outcome at the end of therapy. These relations varied between the two treatment groups. Discussion: On the one hand, our results indicate that the patients’ ratings of the quality of the therapeutic relationship determine the success of the psychoeducational, coping oriented therapy. On the other hand, patients with more persistent symptoms may prefer the less structured supportive therapy approach. Therefore, in future psychotherapy research with schizophrenia patients it will be important to be more concerned with the formation of a good therapeutic relationship and to identify differential indication criteria to enhance the efficacy of psychological therapy approaches.
影响因子：
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作者：
N. Schooler;S. Keith;J. Severe;S. Matthews;A. Bellack;I. Glick;W. Hargreaves;John M. Kane;P. Ninan;Allen J. Frances;M. Jacobs;J. Lieberman;R. Mance;G. Simpson;M. Woerner
通讯作者：
N. Schooler;S. Keith;J. Severe;S. Matthews;A. Bellack;I. Glick;W. Hargreaves;John M. Kane;P. Ninan;Allen J. Frances;M. Jacobs;J. Lieberman;R. Mance;G. Simpson;M. Woerner
影响因子：
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作者：
G. Hogarty;C. Anderson;D. Reiss;S. Kornblith;D. Greenwald;C. D. Javna;M. J. Madonia
通讯作者：
G. Hogarty;C. Anderson;D. Reiss;S. Kornblith;D. Greenwald;C. D. Javna;M. J. Madonia
对与家人或独立家庭生活的精神分裂症患者进行为期三年的个人治疗试验，I：研究描述和对复发率的影响。
DOI：
10.1176/ajp.154.11.1504
发表时间：
1997
期刊：
The American journal of psychiatry.
影响因子：
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作者：
Hogarty,GE;Kornblith,SJ;Greenwald,D;DiBarry,AL;Cooley,S;Ulrich,RF;Carter,M;Flesher,S
通讯作者：
Flesher,S