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Family Interventions in Schizophrenia in Italian Mental Health Services

机译:意大利心理健康服务精神分裂症的家庭干预措施

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This chapter, after discussing some of the issues that slow down the implementation of psychosocial family strategies in schizophrenic disorders in Italian mental health services, also reports the preliminary results of the Italian research project "Involvement and Support of Relatives of Persons Affected by Mental Illness." The design was a randomized controlled-trial comparison of two methods of family-based treatments in schizophrenia. Thirty-nine subjects with a diagnosis of schizophrenic disorder were randomly assigned to single-family (SF) and 35 were assigned to multi-family (MF) psychoeducational intervention. Clinical variables, quality of life, social functioning, and satisfaction with the mental health services were assessed in the patients, and burden of care, quality of life, and satisfaction with the mental health services, were assessed in the relatives. All the evaluations were carried out at the beginning and after six months of treatment by trained independent raters. The 12-month follow-up data are not yet available. The preliminary data from only a third of the sample (25 subjects) show a good reduction in symptoms and a good improvement in social functioning at the six-month follow-up. For social functioning alone, a greater improvement was observed in women and in the multifamily intervention. This ongoing study demonstrates that psychosocial family interventions may be easily introduced in the routine activities of Italian mental health services. The six-month partial results seem to confirm the clinical and social benefits of both the individual and the group approach.
机译:本章在讨论意大利精神卫生服务中精神分裂症患者中减缓了精神病性家族策略的一些问题之后,还报告了意大利研究项目的初步结果“受到精神疾病影响的人民亲属的参与和支持。 “该设计是精神分裂症中基于家族治疗方法的随机对照试验比较。诊断精神分裂症病症的39个受试者被随机分配给单独的(SF),35名被分配给多家庭(MF)心理教育干预。在亲属评估了患者的临床变量,与心理健康服务的生活质量,社会功能和满意度,以及心理健康服务的护理负担,生活质量和满足感。所有评估都是在训练有素的独立评级培训的六个月内进行的。尚未使用12个月的后续数据。只有三分之一的样本(25个受试者)的初步数据显示出症状的良好降低和六个月随访中的社会功能良好的改善。对于单独的社会运作,在女性和多重干预中观察到更大的改善。该持续的研究表明,在意大利心理健康服务的常规活动中,可以轻易引入心理社会家庭干预。六个月的部分结果似乎确认了个人和群体方法的临床和社会利益。

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