早期精神病和药物滥用者家庭成员的沟通目标和应用

IF 2.2 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2025-08-18 DOI:10.1111/eip.70077

Patrick Y. Kelly, Max H. Cook, Julie M. McCarthy

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引用次数: 0

摘要

目的不良的家庭沟通可使早期精神病和药物使用结果恶化。虽然家庭认为沟通技巧很有价值，但在资源有限的环境中，该提供哪些内容仍不清楚。这项研究确定了沟通的优势/改进的领域，家庭想要练习的对话，以及他们与亲人和一般人的沟通快乐。方法对36例有早期精神障碍和药物使用的亲属进行沟通辅导。根据会议记录和进度记录对优势/改进领域和角色扮演内容进行评级。自我报告项目评估沟通幸福感。结果参与者的目标是提高简洁（44%）、具体和清晰（39%）和提供帮助（36%）。角色扮演侧重于独立性（44.1%）、物质使用（29.4%）和心理健康治疗（17.6%）。参与者报告与其他人的交流比与其亲属的交流更快乐（p < 0.05）。结论家庭希望改善与早期精神病患者和药物使用患者的沟通、简洁、清晰和有效的帮助，特别是培养他们的独立性。

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Communication Targets and Applications for Family Members of People With Early Psychosis and Substance Use

Aim

Poor family communication can worsen early psychosis and substance use outcomes. While families find communication skills valuable, which components to offer in resource-limited settings remain unclear. This study identified communication strengths/areas of improvement, conversations families wanted to practise, and their communication happiness with their relative versus people generally.

Method

Family members (N = 36) of relatives with early psychosis and substance use participated in communication coaching. Strengths/areas of improvement and role-play content were rated from session recordings and progress notes. Self-report items assessed communication happiness.

Results

Participants aimed to improve being brief (44%), specific and clear (39%) and offering help (36%). Role-plays focused on independence (44.1%), substance use (29.4%) and mental health treatment (17.6%). Participants reported greater communication happiness with others than with their relative (p < 0.05).

Conclusion

Families wanted to improve communication, brevity, clarity and effectively offer help, particularly to foster independence with their relative with early psychosis and substance use.

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来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.