Different Roads Lead to Rome: Exploring Patterns of Change among Narrative Enhancement and Cognitive Therapy (NECT) Participants.

IF 0.5 4区医学 Q4 PSYCHIATRY Israel Journal of Psychiatry and Related Sciences Pub Date : 2017-01-01

David Roe, Ilanit Hasson-Ohayon, Michal Mashiach-Eizenberg, Amit Yamin, Paul H Lysaker

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引用次数: 0

Abstract

Background: Narrative enhancement and cognitive therapy (NECT) is aimed at decreasing self-stigma and promoting recovery. The current study used a mixed-methods approach to explore the process and mechanisms by which NECT affects self-stigma and recovery.

Method: Sixty-two participants with serious mental illness (SMI) and enrolled in NECT completed questionnaires assessing self-clarity, recovery, self-stigma, and hope before and after the intervention, and the two latter questionnaires also after completing two defined parts of the intervention. In addition, one group's transcriptions were qualitatively analyzed and compared with changes in quantitative measures.

Results: Quantitative analysis revealed a significant increase in self-clarity and a decrease in self-stigma, which occurred early in the intervention. Qualitative analysis identified factors contributing to such changes. Limitations include lack of a comparison group, bias selection in the qualitative analysis and case record diagnoses.

Conclusions: NECT was found to be effective in reducing self-stigma and improving self clarity and the mechanisms and process were identified.

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不同的道路通往罗马:探索叙事增强和认知治疗(NECT)参与者的变化模式。

背景:叙事增强和认知疗法(NECT)旨在减少自我耻辱感和促进康复。目前的研究采用混合方法来探索NECT影响自我耻辱和恢复的过程和机制。方法:62名重度精神疾病(SMI)被试在干预前后分别完成自我清晰度、康复、自我污名和希望量表，并在完成干预的两个特定部分后分别完成后两份问卷。此外，对其中一组的转录进行定性分析，并与定量测量的变化进行比较。结果:定量分析显示，在干预早期，自我清晰度显著提高，自我羞耻感显著降低。定性分析确定了导致这些变化的因素。局限性包括缺乏比较组、定性分析中的偏倚选择和病例记录诊断。结论:NECT在减少自我污名感和提高自我清晰度方面具有有效的作用，并明确了其机制和过程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Israel Journal of Psychiatry and Related Sciences PSYCHIATRY-

CiteScore

0.80

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： THE ISRAEL JOURNAL OF PSYCHIATRY publishes original articles dealing with the all bio-psycho-social aspects of psychiatry. While traditionally the journal has published manuscripts relating to mobility, relocation, acculturation, ethnicity, stress situations in war and peace, victimology and mental health in developing countries, papers addressing all aspects of the psychiatry including neuroscience, biological psychiatry, psychopharmacology, psychotherapy and ethics are welcome. The Editor also welcomes pertinent book reviews and correspondence. Preference is given to research reports of no more than 5,000 words not including abstract, text, references, tables and figures. There should be no more than 40 references and 4 tables or figures. Brief reports (1,500 words, 5 references) are considered if they have heuristic value. Books to be considered for review should be sent to the editorial office. Selected book reviews are invited by the editor.