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ถ้าท่านยังไม่ได้เป็นสมาชิก? ท่านสามารถ สมัครได้ที่นี่ ในการเป็นสมาชิก ท่านจะได้ประโยชน์จากการตั้งค่าส่วนตัวต่างๆ เช่น ฉากหรือพื้นโปรแกรม ค่าอ่านความคิดเห็น และการแสดงความเห็นด้วยชื่อท่านเอง
A Randomized Controlled Trial of Family Intervention for Co-occurring Substance
mental healthA Randomized Controlled Trial of Family Intervention for Co-occurring Substance Use and Severe Psychiatric Disorders    Kim T. Mueser1,2,*, Shirley M. Glynn3,4, Corrine Cather5,6, Haiyi Xie7,8, Roberto Zarate4,9, Lindy Fox Smith7,8, Robin E. Clark10, Jennifer D. Gottlieb1,2, Rosemarie Wolfe7,8, and James Feldman6,11

1 Center for Psychiatric Rehabilitation, Boston University, 940 Commonwealth Avenue, West, Boston, MA 02215; 2Department of Occupational Therapy, Boston University, Boston, MA; 3VA Greater Los Angeles Healthcare System, Los Angeles, CA; 4Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, CA; 5Schizophrenia Program, Massachusetts General Hospital, Boston,MA;6Department of Psychiatry, Harvard Medical School, Boston,MA;7Department of Psychiatry, Dartmouth Medical School, Hanover,NH;8DartmouthPsychiatric Research Center, Concord,NH;9Pacific Clinics,LosAngeles,CA;10Center for Health Policy and Research, University of Massachusetts Medical School, Shrewsbury, MA; 11Massachusetts Mental Health Center, Boston, MA *To whom correspondence should be addressed; tel: 617-353-3549, fax: 617-353-7700, e-mail: mueser@bu.edu       Substance use disorders have a profound impact on the course of severe mental illnesses and on the family, but little research has evaluated the impact of family intervention for this population. To address this question, a randomized controlled trial was conducted comparing a brief (2–3 mo) Family Education (ED) program with a longer-term (9–18 mo) program that combined education with teaching communication and problem-solving skills, Family Intervention for Dual Disorders (FIDD). A total of 108 clients (77% schizophrenia-spectrum) and a key relative were randomized to either ED or FIDD and assessed at baseline and every 6 months for 3 years. Rates of retention of families in both programs were moderate. Intent-to-treat analyses indicated that clients in both programs improved in psychiatric, substance abuse, and functional outcomes, as did key relatives in knowledge of co-occurring disorders, burden, and mental health functioning. Clients in FIDD had significantly less severe overall psychiatric symptoms and psychotic symptoms and tended to improve more in functioning. Relatives in FIDD improved more in mental health functioning and knowledge of co-occurring disorders. There were no consistent differences between the programs in substance abuse severity or family burden. The findings support the utility of family intervention for co-occurring disorders, and the added benefits of communication and problem-solving training, but also suggest the need to modify these programs to retain more families in treatment in order to provide them with the information and skills they need to overcome the effects of these disorders. Key words: dual disorders/dual diagnosis/family psychoeducation/family therapy
ติดประกาศ Thursday 25 Sep 14@ 12:55:44 +08 โดย admin
"A Randomized Controlled Trial of Family Intervention for Co-occurring Substance " | สมัครสมาชิกที่นี่ | 0 ข้อคิดเห็นต่างๆ
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