“心境-促进协作医疗”模式对精神分裂症患者抑郁和焦虑的影响

Impact of improving mood promoting access to collaborative treatment( IMPACT) model on depression and anxiety of schizophrenes

[目的]探讨"心境-促进协作医疗"(IMPACT)管理模式对改善社区精神分裂症患者抑郁和焦虑状况的影响。[方法]在上海市高东镇在册管理的187例精神分裂症患者中,筛选出符合条件的精神分裂症患者119例,随机分为干预组60例和对照组59例。干预组用IMPACT模式管理,对照组用日常管理方式管理。入组前、入组6、12及18个月时分别进行评定和随访。[结果]干预12个月后,干预组抑郁自评量表得分明显低于对照组(P<0.05或0.01);观察6个月后,干预组焦虑自评量表得分明显低于对照组(P<0.05或0.01)。[结论]IMPACT模式能改善社区精神分裂症患者伴发的抑郁和焦虑,有利于预防病情复发。

[ Objective ] To discuss the effect of IMPACT on community sehizophrenes＂ depression and anxiety, as well as the reduction of disease relapse. [ Methods ] By means of cluster sampling were included 187 registered sehizophrenes from Regional Mental Illness Management System. According to the scheduled inclusion criteria, 119 of them were selected and divided randomly, into a 60 - member intervention group and a 59 - member control group. Only in the intervention group was IMPACT model used. Follow - up and evaluation was made with SDS and SAS on the two groups before grouping, and at 6 -months, 12- months and 18 -months after grouping. [ Results] After 12 months＇ observation, the SDS score of the intervention group was obviously lower than that of the control group （P 〈 0.05 or 0.01 ）. After 6 monthsJobservation, the SAS score of the intervention group was also obviously lower than that of the control group （ P 〈 0.05 or 0.01 ）. [ Conclusion ] IMPACT model can reduce the depression and anxi- ety degree of community schizophrenes, and help prevent relapses of the disease.