Can thiết bị can thiệp tâm lý giáo dục và phòng ngừa tái phát trong rối loạn tâm thần phân liệt trong mạng lưới tâm thần cộng đồng tại Ý

Eugenio Aguglia1, Elisabetta Pascolo-Fabrici1, Francesca Bertossi1, Mariano Bassi2
1Psychiatric Clinic of the University of Trieste, Trieste, Italy
2Mental Health Department, Local Health Unit, Bologna, Italy

Tóm tắt

Việc thiếu tuân thủ điều trị liên quan đến nguy cơ tăng cao về việc nhập viện và thay đổi hoặc bổ sung điều trị so với việc tuân thủ. Sự kết hợp giữa liệu pháp thuốc và can thiệp tâm lý xã hội có thể mang lại nhiều lợi ích hơn trong điều trị. Một nghiên cứu triển vọng đã được tiến hành trên 150 bệnh nhân mắc chứng tâm thần phân liệt tại 15 trung tâm ở Ý. Nhóm thử nghiệm được điều trị bằng liệu pháp thuốc và can thiệp tâm lý xã hội truyền thống cùng với giáo dục tâm lý cho bệnh nhân và gia đình họ, trong khi nhóm đối chứng chỉ nhận can thiệp tâm lý xã hội và thuốc truyền thống trong 1 năm. Nhóm thử nghiệm cho thấy sự cải thiện có ý nghĩa thống kê (p < 0,05) trên hầu hết các thang đo đã được đánh giá (BPRS, SAPS, SANS, Thang đo SIMPSON-ANGUS, Thang đo chất lượng cuộc sống Lancashire). Sự giảm đáng kể số lần nhập viện và số ngày nằm viện cũng được ghi nhận. Như đã được thể hiện trong tài liệu quốc tế, can thiệp giáo dục tâm lý cho bệnh nhân tâm thần phân liệt và gia đình có thể giảm thiểu khả năng tái phát.

Từ khóa

#can thiệp tâm lý #phát lại #tâm thần phân liệt #y học cộng đồng #nghiên cứu cách tiếp cận

Tài liệu tham khảo

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