马斌, 周进, 瞿正万, 卫玉康, 孙一颖. “心境-促进协作医疗”模式对精神分裂症患者抑郁和焦虑的影响[J]. 上海预防医学, 2015, 27(6): 347-350.
引用本文: 马斌, 周进, 瞿正万, 卫玉康, 孙一颖. “心境-促进协作医疗”模式对精神分裂症患者抑郁和焦虑的影响[J]. 上海预防医学, 2015, 27(6): 347-350.
MA Bin, ZHOU Jin, QU Zheng-wan, WEI Yu-kang, SUN Yi-ying. Impact of improving mood promoting access to collaborative treatment (IMPACT) model on depression and anxiety of schizophrenes[J]. Shanghai Journal of Preventive Medicine, 2015, 27(6): 347-350.
Citation: MA Bin, ZHOU Jin, QU Zheng-wan, WEI Yu-kang, SUN Yi-ying. Impact of improving mood promoting access to collaborative treatment (IMPACT) model on depression and anxiety of schizophrenes[J]. Shanghai Journal of Preventive Medicine, 2015, 27(6): 347-350.

“心境-促进协作医疗”模式对精神分裂症患者抑郁和焦虑的影响

Impact of improving mood promoting access to collaborative treatment (IMPACT) model on depression and anxiety of schizophrenes

  • 摘要: 目的探讨"心境-促进协作医疗"(IMPACT)管理模式对改善社区精神分裂症患者抑郁和焦虑状况的影响。方法在上海市高东镇在册管理的187例精神分裂症患者中,筛选出符合条件的精神分裂症患者119例,随机分为干预组60例和对照组59例。干预组用IMPACT模式管理,对照组用日常管理方式管理。入组前、入组6、12及18个月时分别进行评定和随访。结果干预12个月后,干预组抑郁自评量表得分明显低于对照组(P<0.05或0.01);观察6个月后,干预组焦虑自评量表得分明显低于对照组(P<0.05或0.01)。结论IMPACT模式能改善社区精神分裂症患者伴发的抑郁和焦虑,有利于预防病情复发。

     

    Abstract: Objective To discuss the effect of IMPACT on community schizophrenes' depression and anxiety, as well as the reduction of disease relapse. Methods By means of cluster sampling were included 187 registered schizophrenes from Regional Mental Illness Management System. According to the scheduled inclusion criteria, 119 of them were selected and divided randomly, into a 60-member intervention group and a 59-member control group. Only in the intervention group was IMPACT model used. Follow-up and evaluation was made with SDS and SAS on the two groups before grouping, and at 6-months, 12-months and 18-months after grouping. Results After 12 months' observation, the SDS score of the intervention group was obviously lower than that of the control group (P<0.05 or 0.01). After 6 months' observation, the SAS score of the intervention group was also obviously lower than that of the control group (P<0.05 or 0.01). Conclusion IMPACT model can reduce the depression and anxiety degree of community schizophrenes, and help prevent relapses of the disease.

     

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