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首页> 外文期刊>The International journal of social psychiatry >Towards a treatment model for family therapy for schizophrenia in an urban African setting: Results from a qualitative study
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Towards a treatment model for family therapy for schizophrenia in an urban African setting: Results from a qualitative study

机译：建立非洲城市地区精神分裂症家庭治疗的治疗模型：定性研究的结果

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Background: Family interventional programmes are effective adjuncts to pharmacotherapy in patients with schizophrenia. Modification in content of such programmes in response to local challenges is considered important, but has not been fully explored in Africa. Aims: To assess the feasibility and acceptability of an interventional family study for people with schizophrenia and their families in a socially deprived urban community in South Africa and to explore the contextual factors that could influence implementation of the intervention. Method: A psychiatric nurse facilitated semi-structured interviews with four multi-family groups, each comprising adult outpatients with schizophrenia and their caregivers. Six sessions were held per group. Thematic analysis was applied. Results: Three themes emerged: stigma and abuse; substance abuse comorbidity and caregiver burden of multiple stressors. Many of these stressors relate to the challenges of an impoverished urban environment. Conclusions: Multi-family groups with a psycho-educational and behaviour modification frame are acceptable. Negative symptoms are seen as protective in areas of community violence. Modification of traditional models of family therapy to include factors related to poverty, violence, caregiver burden, stigma and limited health care access should be considered in this setting.
机译：背景：家庭干预计划是精神分裂症患者药物治疗的有效辅助手段。应对此类方案的内容以应对当地挑战很重要，但在非洲尚未进行充分探讨。目的：评估在南非一个社会匮乏的城市社区中对精神分裂症患者及其家人进行干预性家庭研究的可行性和可接受性，并探讨可能影响干预措施实施的背景因素。方法：一名精神科护士协助对四个多族群进行半结构式访谈，每个小组均包括患有精神分裂症的成人门诊患者及其护理人员。每组举行六次会议。应用了主题分析。结果：出现了三个主题：污名化和虐待;歧视。多种压力源的药物滥用合并症和照顾者负担。这些压力源中有许多与城市贫困环境的挑战有关。结论：具有心理教育和行为矫正框架的多族群是可以接受的。负面症状在社区暴力领域被认为是保护性的。在这种情况下，应考虑将传统的家庭治疗模式修改为包括与贫困，暴力，照料者负担，污名和有限的医疗服务有关的因素。

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