ABSTRACT
Objective To study the effect of systemic group music therapy (SGMT) on social living function and life quality in patients with schizophrenia. Methods By systematic sampling, 160 patients were divided into intervention group (80 patients) and control group (80 patients).Patients in the intervention group were treated by SGMT, and the control group was treated by general care.Comparison was made before intervention and 18 months after intervention on the following:scores of social living function as determined by the Activity of Daily Living Scale (ADL), Social Disability Screening Schedule (SDSS), and Social Maladjustment (SOC) scale.The WHO quality of Life-BREF scale was used to analyze score changes of patients′ life quality. Results ADL, SDSS and SOC scores of the patients in intervention group were significantly lower than those in control group (P values all 0.05).In comparison of the life quality scores, physical health, mental health and social relationship scores were higher in intervention group than those in control group(P values all < 0.05).There was no significant difference between two groups in environment scores(P>0.05). Conclusion Implementation of SGMT intervention can efficiently improve patients′ social living function and quality of life.
ABSTRACT
[ Objective] To discuss the effect of IMPACT on community schizophrenes'depression and anxiety, as well as the reduction of disease relapse. [ Methods] By means of cluster sampling were included 187 registered schizophrenes 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 months'observation, 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.
ABSTRACT
Objective] To explore the management mode of IMPACT so as to improve life quality and reduce relapse in schizophrenics . [ Methods] Data on 187 registered schizophrenes were obtained from Regional Mental Illness Management System of Pudong New Area .According to the inclusion and exclusion criteria, 119 of them were selected and divided randomly , into intervention group of 60 patients and control group of 59 patients.The intervention group was treated with IMPACT for 18 months and scored by Schizophrenics Quality of Life Scale ( SQLS) before grouping and 6-months, 12-months and 18-months after grouping . [ Results] After 6 months of intervention treatment , the scores of SQLS in symptoms/side-effects subscale were significantly lower in intervention group than those in control group ( P<0 .05 ) . Although the scores in psychosocial , dynamic/energy 2 subscales were lower as compared with those before grouping , but the difference was not statistically significant .The scores in dynamic/energy and symptoms/side-effects 2 subscales were different as compared with those before grouping ( P <0.05).After 12,18 months of intervention treatment , scores in psychosocial , dynamic/energy , symtoms/side-effects subscales and total scores were markedly lower in intervention group than those in control group(P<0.05).After 12 months of intervention , there were 3 cases/times of relapse in intervention group fewer than 11 cases of relapse in control group , the difference was statistically significant .After 18 months of intervention , the differences in relapse rate were also statistically significant between the two groups . [ Conclusion ] IMPACT approach can improve life quality and prevent relapses in schizophrenics .
ABSTRACT
To discuss the effectiveness of the IMPACT mode for late-life depression . [ Methods] From Shanghai Pudong mental health network system , 60 cases of elderly depressions were cho-sen according to the criteria for case reqirement .Of the 60 cases , 30 were allocated into the intervention group who were treated with 18 months'IMPACT.The other 30 were included in the control group , who were treated with routine management for psychiatric rehabilitation .Depressive symptoms and medication compli-ance scores were compared and assessed at 6,12 and 18 months before and after intervention by using the hamilton depression scale ( HAMD) , self-rating depression scale ( SDS ) and the insight and treatment atti-tude questionnaire ( ITAQ) .Comparison was also made in re-hospitalization during intervention between the two groups .The patients'quality of life was analyzed and compared between the two groups by 36-items short form health survey (SF-36). [Results] The HAMD and SDS scores in intervention group were signifi-cantly lower than those in control group at 6,12 and 18 months after intervention (Pall<0.05).ITAQ scores were higher than those in control group (P<0.05).According to the SF-36 scores, the bodily pain, general health, vitality, social functioning and mental health scores in intervention group were extremely higher than those in control group (Pall<0.05).There was not one case of recurrence in intervention group , however, there were 6 cases of recurrence in the control group , the recurrence hospitalization rate being 20%(χ2 =6.67, P<0.05). [Conclusion] IMPACT mode for late-life depression could relieve depressive symptoms effectively , thus reducing the recurrence hospitalization rate and improving the quality of life for patients .