PDF(Pubmed)
Abstract：
To clarify whether a self-directed study program on social resources improves negative symptoms, quality of life (QOL), and social participation among outpatients with schizophrenia. Eighty-six participants were randomly divided into intervention and control groups. In addition to the usual day programs, the intervention group participated in a self-directed study program on social resources once a week for eight weeks. The control group participated only in the usual day programs. Negative symptoms and QOL were assessed at baseline and post-intervention using the Positive and Negative Syndrome Scale (PANSS) and the WHO Quality of Life-BREF (WHOQOL-BREF), respectively. Social participation was also assessed. After the intervention, there were no significant differences in the PANSS negative symptoms and WHOQOL-BREF total scores between the two groups. Within-group, PANSS negative symptom scores significantly improved in the intervention group (p < 0.05), but not in the control group. The WHOQOL-BREF physical health subscale scores improved significantly only in the intervention group (p < 0.05). Social participation remained unchanged between the intervention and control groups. The results suggest that a self-directed study program on social resources may be useful for improving negative symptoms and physical QOL in outpatients with schizophrenia. The findings highlight the potential of such interventions to bridge the existing gap in psychosocial rehabilitation strategies for this population.
摘要：
为了澄清关于社会资源的自我指导研究计划是否可以改善阴性症状，生活质量（QOL），和精神分裂症门诊患者的社会参与。86名参与者被随机分为干预组和对照组。除了通常的日常节目，干预组每周参加一次关于社会资源的自我指导研究计划,为期8周.对照组仅参加常规的日间计划。使用阳性和阴性综合征量表（PANSS）和WHO生活质量-BREF（WHOQOL-BREF）在基线和干预后评估阴性症状和QOL，分别。还评估了社会参与情况。干预之后,两组之间的PANSS阴性症状和WHOQOL-BREF总分无显著差异.组内,PANSS阴性症状评分在干预组显著改善(P<0.05),但不在对照组。WHOQOL-BREF体质健康子量表评分仅在干预组显著改善(p<0.05)。干预组和对照组的社会参与保持不变。结果表明，针对社会资源的自我指导研究计划可能有助于改善精神分裂症门诊患者的阴性症状和身体生活质量。研究结果强调了此类干预措施在弥合该人群心理社会康复策略方面的现有差距的潜力。
