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Empirically Based Psychosocial Therapies for Schizophrenia: The Disconnection between Science and Practice

机译:基于经验的精神分裂症心理社会疗法:科学与实践之间的脱节

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摘要

Empirically validated psychosocial therapies for individuals diagnosed with schizophrenia were described in the report of the Schizophrenia Patient Outcomes Research Team (PORT, 2009). The PORT team identified eight psychosocial treatments: assertive community treatment, supported employment, cognitive behavioral therapy, family-based services, token economy, skills training, psychosocial interventions for alcohol and substance use disorders, and psychosocial interventions for weight management. PORT listings of empirically validated psychosocial therapies provide a useful template for the design of effective recovery-oriented mental health care systems. Unfortunately, surveys indicate that PORT listings have not been implemented in clinical settings. Obstacles to the implementation of PORT psychosocial therapy listings and suggestions for changes needed to foster implementation are discussed. Limitations of PORT therapy listings that are based on therapy outcome efficacy studies are discussed, and cross-cultural and course and outcome studies of correlates of recovery are summarized.
机译:精神分裂症患者预后研究小组的报告(PORT,2009)中描述了经实践验证的精神分裂症患者的心理社会疗法。 PORT团队确定了八种社会心理治疗方法:自信的社区治疗,辅助性就业,认知行为疗法,家庭服务,代币经济,技能培训,针对酒精和药物滥用障碍的心理社会干预措施以及对体重管理的心理社会干预措施。 PORT上经过实证验证的心理社会疗法的清单为设计有效的面向康复的心理保健系统提供了有用的模板。不幸的是,调查表明尚未在临床环境中实施PORT清单。讨论了实施PORT心理社会治疗清单的障碍以及为促进实施所需要进行的更改的建议。讨论了基于治疗​​结局功效研究的PORT治疗清单的局限性,并总结了跨文化以及康复相关性的病程和结局研究。

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