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The impact of familial involvement on dropout in a culturally informed group therapy for people diagnosed with 'schizophrenia'. 在一项针对被诊断为“精神分裂症”的文化知情群体治疗中,家庭参与对辍学的影响
IF 1.2 4区 医学 Q3 Medicine Pub Date : 2024-01-01 Epub Date: 2022-09-21 DOI: 10.1080/17522439.2022.2118358
Jessica Maura, Salman Shaheen Ahmad, Amy Weisman de Mamani

Background: Individuals with schizophrenia diagnoses are high-risk for dropout from mental health treatments, yet few studies have examined whether familial involvement in therapy impacts dropout.

Methods: We examined whether familial involvement and other demographic variables predicted dropout among 101 patients enrolled in culturally informed group therapy for schizophrenia (CIGT-S), which incorporates collectivistic principles and spiritual coping into treatment. We reviewed records and conducted follow-up calls to identify reasons for dropout, and performed survival analyses to identify when dropout was likely.

Results: Familial involvement was linked to greater engagement with treatment and lower dropout, signifying a mechanism for improving treatment attendance in this group. Ethnic minorities and patients with higher symptom severity demonstrated higher rates of dropout. Most patients dropped out of CIGT-S before treatment began. However, significantly lower levels of dropout were observed among those who made it to session 9 (end of the spirituality module). An inability to maintain contact with participants was the most cited reason for dropout within records, and structural reasons (e.g., moving away) were commonly cited among participants who were successfully followed-up with.

Discussion: Future work may identify whether family functioning or the quality of familial relationships may predict familial involvement and, consequently, treatment attendance.

背景:被诊断为精神分裂症的患者是精神健康治疗的高辍学风险人群:被诊断为精神分裂症的患者是精神健康治疗的高辍学风险人群,但很少有研究探讨家庭参与治疗是否会影响辍学:我们对参加精神分裂症文化信息团体治疗(CIGT-S)的 101 名患者的家庭参与和其他人口统计学变量是否会预测辍学情况进行了研究。我们查阅了记录并进行了电话随访,以确定辍学原因,并进行了生存分析,以确定何时可能辍学:结果:家庭参与与更多患者参与治疗和更低的辍学率有关,这表明该机制可提高该群体的治疗出勤率。少数族裔和症状严重程度较高的患者辍学率较高。大多数患者在治疗开始前就退出了 CIGT-S。然而,在坚持到第 9 个疗程(精神治疗模块结束)的患者中,辍学率明显较低。在记录中,无法与参与者保持联系是最常见的辍学原因,而在成功跟进的参与者中,结构性原因(如搬家)也是常见的辍学原因:讨论:未来的工作可能会确定家庭功能或家庭关系的质量是否会预测家庭参与度,进而预测治疗出席率。
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引用次数: 0
A mixed-methods validation of the 15-item English version of the Questionnaire about the Process of Recovery (QPR) in an adult mental health inpatient rehabilitation setting 一份包含15个项目的成人心理健康住院康复过程问卷英文版的混合方法验证
4区 医学 Q3 Medicine Pub Date : 2023-11-07 DOI: 10.1080/17522439.2023.2271051
Katherine Kidd, Kelly Fenton, Alex Lord
ABSTRACTBackground Recovery is a key outcome within healthcare services and can be assessed using the Questionnaire about the Process of Recovery (QPR). Research indicates good psychometric properties in community samples, but no research has extended this to inpatient settings. The face validity of the QPR has not been assessed. This research aimed to explore the psychometric properties of the QPR in an adult mental health inpatient rehabilitation setting.Method 150 inpatients completed the QPR questionnaire. 10 inpatients participated in a semi-structured interview to assess face and concurrent validity.Results The results indicated a single factor solution was appropriate, explaining 51.4% of the variance. Internal consistency was excellent (α = 0.94). No floor or ceiling effects were observed. Interviews indicated good face and content validity.Discussion Overall, this research supports the use of the 15-item QPR in inpatient rehabilitation settings as all assessed psychometric properties were adequate. Some participants suggested additional aspects of their recovery that the QPR did not cover, supporting the use of the QPR alongside other symptom-specific measures.KEYWORDS: QPRrecoveryrehabilitationvalidation Disclosure statementNo potential conflict of interest was reported by the author(s).
摘要背景恢复是医疗保健服务中的一个关键成果,可以使用关于恢复过程的问卷(QPR)进行评估。研究表明在社区样本中有良好的心理测量特性,但没有研究将其扩展到住院患者环境中。质素保证程序检讨的表面效度尚未评估。本研究旨在探讨成人心理健康住院康复患者QPR的心理测量特性。方法对150例住院患者进行QPR问卷调查。10例住院患者参加了半结构化访谈,以评估面部和并发效度。结果单因素解决是合适的,解释了51.4%的方差。内部一致性极好(α = 0.94)。没有观察到下限或上限效应。访谈显示良好的面孔效度和内容效度。总体而言,本研究支持在住院康复环境中使用15项QPR,因为所有评估的心理测量特性都是足够的。一些与会者提出了质量审查程序未涵盖的其他康复方面,支持将质量审查程序与其他针对症状的措施结合使用。披露声明作者未报告潜在的利益冲突。
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引用次数: 0
Exploring service users’ and practitioners’ priorities regarding outcomes of cognitive behavioural therapy for distressing voices: a thematic analysis 探索服务用户和从业者关于认知行为治疗痛苦声音结果的优先事项:专题分析
4区 医学 Q3 Medicine Pub Date : 2023-10-31 DOI: 10.1080/17522439.2023.2269225
Sofia Loizou, David Fowler, Mark Hayward
Background The outcomes of Cognitive Behavioural Therapy for distressing voices and their measurement have mostly been determined by professionals, with little focus on the outcomes that matter to people who hear voices. The aim of this qualitative study was to explore views about the outcomes of Cognitive Behavioural Therapy for distressing voices from the perspectives of lived and professional experience.
认知行为疗法对痛苦声音的治疗结果及其测量大多由专业人士决定,很少关注对听到声音的人有影响的结果。本质性研究的目的是从生活经验和专业经验的角度探讨认知行为疗法治疗痛苦声音的效果。
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引用次数: 0
The association between social identity and paranoia through the mediators of trust and hostile attribution bias in a UK general population study 社会认同与偏执狂之间的关联:通过信任和敌意归因偏见的中介在英国普通人群研究中
4区 医学 Q3 Medicine Pub Date : 2023-10-23 DOI: 10.1080/17522439.2023.2269219
H. Cooper, K. Gillings, H. Griffiths
Background Paranoia is a common experience prevalent in the general population. Social identity refers to our sense of belonging to a social group and has been implicated in the formation and maintenance of paranoia. Research into these mechanisms is still emerging. It was hypothesised that trust and hostile attribution bias would mediate this relationship in a UK general population sample.
偏执狂是普遍存在于普通人群中的一种常见经历。社会认同是指我们对一个社会群体的归属感,它与偏执狂的形成和维持有关。对这些机制的研究仍在不断涌现。假设信任和敌对归因偏见会在英国普通人群样本中调解这种关系。
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引用次数: 0
Exploring personal accounts of the facilitators and barriers to seeking help for first-episode psychosis (FEP): a meta-ethnography 探索个人对首发精神病(FEP)寻求帮助的促进因素和障碍:一种元人种志
4区 医学 Q3 Medicine Pub Date : 2023-10-06 DOI: 10.1080/17522439.2023.2263779
Reham Al Taher, Andrew Fox
Background Identifying facilitators and barriers to help-seeking for first-episode psychosis (FEP) is a topic growing in research and clinical interest, particularly lived experience perspectives. This meta-ethnography aimed to synthesize the findings of qualitative studies that explored personal accounts of help-seeking for FEP.
背景识别首发精神病(FEP)寻求帮助的促进因素和障碍是一个日益增长的研究和临床兴趣的主题,特别是生活经验的观点。这一元人种志旨在综合定性研究的结果,这些研究探索了FEP寻求帮助的个人账户。
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引用次数: 0
A book review of Crash: a memoir of overmedication and recovery A book review of Crash: a memoir of overmedication and recovery , by Ann Bracken, Simpsonville, MD, Charing Cross Press, 2023, 227 pp., $18.00 (paperback), ISBN: 978057839433-6 《崩溃:过度用药与康复的回忆录》书评,Ann Bracken著,辛普森维尔,MD,查林十字出版社,2023年,227页,18.00美元(平装本),ISBN: 978057839433-6
4区 医学 Q3 Medicine Pub Date : 2023-09-29 DOI: 10.1080/17522439.2023.2263784
Megan Wildhood
"A book review of Crash: a memoir of overmedication and recovery." Psychosis, ahead-of-print(ahead-of-print), pp. 1–2
“《撞车》书评:关于过度用药和康复的回忆录。”《精神病》,提前印刷,第1-2页
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引用次数: 0
Yalom’s therapeutic factors in hearing Voices Groups: a facilitator’s perspective Yalom在听声小组中的治疗因素:一个引导者的视角
4区 医学 Q3 Medicine Pub Date : 2023-09-15 DOI: 10.1080/17522439.2023.2258594
Alison Branitsky
Over the past 35 years, peer-run Hearing Voices Groups (HVGs) have proliferated across the globe. More recently, research has begun to focus on the precise psychological mechanisms that make groups effective and enable individual psychological change. While important in their own right, theories of peer support are limited in their ability to explain the psychological mechanisms by which complex psychological transformation occurs. As such, it is necessary to look beyond peer support and borrow theories from the psychotherapeutic literature. Yalom and Leszcz’s (2005) seminal work, The Theory and Practice of Group Psychotherapy, may help shed some light on the psychological dynamics that bring about change in HVGs. Peer support and group psychotherapy differ widely in their histories, philosophical underpinnings, and approach to, and understanding of, mental distress. As such, theories of group psychotherapy cannot be broadly applied to HVGs without a nuanced understanding of the differences between HVGs and psychotherapy groups. In this paper, I use my lived experience as an HVG member and facilitator to highlight these differences, and explore where Yalom’s theory may be useful at understanding the change mechanisms at play in HVGs.
在过去的35年里,由同行管理的听声小组(hvg)在全球范围内激增。最近,研究已经开始关注使群体有效和使个人心理变化的确切心理机制。虽然同伴支持理论本身很重要,但它们在解释复杂心理转变发生的心理机制方面的能力有限。因此,有必要超越同伴的支持,从心理治疗文献中借鉴理论。Yalom和Leszcz(2005)的开创性作品《团体心理治疗的理论与实践》可能有助于揭示导致hvg发生变化的心理动力学。同伴支持和团体心理治疗在它们的历史、哲学基础、对待和理解精神痛苦的方法上有很大的不同。因此,如果没有对hvg和心理治疗团体之间的差异进行细致入微的理解,团体心理治疗的理论就不能广泛地应用于hvg。在本文中,我用自己作为HVG成员和推动者的亲身经历来强调这些差异,并探讨Yalom的理论在理解HVG中发挥作用的变化机制方面的有用之处。
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引用次数: 0
Investigating hallucination-proneness, dissociative experiences and trauma in the general population 调查一般人群的幻觉倾向、解离性经历和创伤
4区 医学 Q3 Medicine Pub Date : 2023-09-14 DOI: 10.1080/17522439.2023.2254810
Owen Jones, Luna Hughes-Ruiz, Victoria Vass
Background There is evidence to suggest trauma significantly predicts risk for psychosis. Dissociation might be a key causal variable, mediating the relationship between trauma and hallucination-proneness in clinical samples.
背景:有证据表明创伤可显著预测精神病的发生风险。分离可能是一个关键的因果变量,在临床样本中调解创伤和幻觉倾向之间的关系。
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引用次数: 0
Compassion-informed approaches for coping with hearing voices: literature review and narrative synthesis 以同情为依据的应对幻听的方法:文献综述和叙事综合
IF 1.2 4区 医学 Q3 Medicine Pub Date : 2023-09-08 DOI: 10.1080/17522439.2023.2253883
Hannah Leach, James Kelly, Sarah Parry
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引用次数: 0
Preferred treatment outcomes in psychological therapy for voices: a comparison of staff and service-user perspectives 语音心理治疗中的首选治疗结果:工作人员和服务用户观点的比较
IF 1.2 4区 医学 Q3 Medicine Pub Date : 2023-07-13 DOI: 10.1080/17522439.2023.2215298
E. Longden, Alison Branitsky, Bryony Sheaves, Nisha Chauhan, A. Morrison
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Psychosis-Psychological Social and Integrative Approaches
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