應用動機再促進方案於思覺失調症患者之成效初探

目的：本研究的目的是應用基於動機再促進策略所發展的方案於精神醫療機構住院的急性思覺失調症患者，並驗證此方案之成效。方法：研究者將動機再促進策略手冊翻譯成中文，並根據該手冊提及的策略編寫動機再促進方案。共有10位個案參與此研究。此方案共有8次介入，每次50分鐘。本研究採用威克森符號等級檢定來檢驗研究變項的前後測分數。結果：研究結果顯示，意志量表的分數變化達顯著差異。正性與負性症狀量表的負性量尺及總分的分數變化亦達顯著差異。結論：本研究結果支持動機再促進方案可有效降低大型精神醫療機構住院的思覺失調症患者的負性症狀，增進意志狀態。本研究限制包括缺乏隨機分派、樣本數小、在提供介入及評估缺乏盲性。建議未來進行隨機控制型試驗，以進一步驗證動機再促進方案療效。

關鍵字

動機再促進；思覺失調症；人類職能模式；手冊式方式介入

並列摘要

Purpose: The purpose of this study was to apply a newly developed program based on the remotivation strategies to persons with acute schizophrenia admitted in the inpatient unit of a mental institution and to examine its effectiveness. Method: The researchers first translated the remotivation strategies manual into Mandarin, and then developed a remotivation program based on the principles mentioned in the manual. Ten persons with schizophrenia were invited to participate in this study. The program consisted of 8 sessions with each session lasting for 50 minutes. The pre- and post-test scores of study variables were examined by the Wilcoxon Signed-Rank Test. Results: The results showed that there were significant score changes in the Volitional Questionnaire. There were also significant changes in the score of the negative symptom subscale and in total scores of the Positive and Negative Symptom Scale. Conclusions: The results support that the remotivation program was effective in reducing the negative symptoms and enhancing volitional status for persons with schizophrenia in the inpatient unit of a large mental institute. The limitations of the study included the lack of randomization, the small sample size and the lack of blinding in administering the intervention and assessments. We suggest conducting randomized controlled trials in the future to test the effectiveness of the remotivation program.

並列關鍵字

Manualized Approach ； Model of Human Occupation ； Remotivation ； Schizophrenia

國際替代計量

應用動機再促進方案於思覺失調症患者之成效初探

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