A Pilot Study on Psychological Interventions with Chinese Young Adults with Schizophrenia

摘要: Abstract Objectives: To investigate the functional and clinical status of a group Chinese schizophrenic patients after treatment with individually tailored psychological over 9month period. Patients Methods: Thirty six 15- to 32-year-old were recruited into study from 2001 2002. The randomly assigned waitlist groups. At baseline their pre-treatment status, social functioning, other clinically relevant parameters assessed. treatments conducted by 2 experienced psychologists assessed face-to-face interviews. Results: After period, outcome measures supported use adjuvant psychotherapy in routine programme for subjects schizophrenia; both positive negative symptoms improved compared (p Conclusions: findings support psychotherapeutic interventions promote better adaptation psychotic disorder. Key words: Behavior therapy; Cognitive Psychotherapy; Schizophrenia; Schizophrenic psychology [TEXT NOT REPRODUCIBLE IN ASCII.] Introduction Schizophrenia is one most widely studied mental disorders. Psychiatrists have been struggling find best model optimise recovery minimise chance relapse. Conventional antipsychotic medications are successful controlling symptoms, but undesirable side-effects. (1) In addition, 2-year relapse rate still around 30 50%. (2,3) introduction second-generation anti-psychotics has renewed hope schizophrenia. Randomised controlled trials shown that such medication at extrapyramidal side-effects, possibly too. (4) However, newer drugs increase risk metabolic syndrome associated weight gain jeopardises adherence. (5) Although attenuate severity florid schizophrenia, (interfering normal functioning) persist. This posed great difficulties return society. Because these constraints, emphasis on psychosocial models, as part multi-facet rehabilitation patients, should not be neglected. Efficacy evaluated many studies. Family therapy, based notion outcomes schizophrenia affected if family exhibits highly expressed emotions, reported reduce relapses. (6) Studies also suggest skills training confers significant benefits reducing hospitalisation burdens. (7,8) Similarly, work-related Hong Kong demonstrated success securing jobs.7 behavioural showed promise dysfunctional information processing could successfully tackled. (9) Despite studies, there no systematic evaluate efficacy used combination medication, Kong. We set out an (various modalities young patients). Our aim was evolution receiving treatment. Methods Subjects adults diagnosis according Diagnostic Statistical Manual Mental Disorders, 4th Edition (DSM-IV) criteria, actively being followed up local psychiatric settings time study. Public private clinics notified encouraged refer programme. …