Comparative study of effects of comprehensive intervention in community on schizophrenic social rehabilitation

Objective To investigate the effect of comprehensive intervention in community on schizophrenic social rehabilitation.Methods A total of 284 patients with schizophrenia were randomly divided into intervention group(n=143) and control group(n=141).The cases in intervention group were regularly provided mental health education,dose advice,skills training and family psychological intervention by psychiatrists for 1 year,while the cases in control group were only followed by clinic visits.All cases were assessed at baseline,half a year and end of the year by instruments including Social Disability Screening Schedule(SDSS),Positive And Negative Symptom Scale(PANSS).Results The scores of SDSS and PANSS had no significant differences between two groups at baseline.At the end of the year,the score of SDSS(7.54±2.11) in intervention group was significantly lower than that in control group(9.77±2.74,P0.01).The total score of PANSS(38.88±9.58),the scores of positive subscale(7.40±1.12),negative subscale(11.32±5.92) and the general psychopathology subscale(20.16±5.19) in intervention group were also significantly lower than those in control group(46.88±16.37,8.60±3.19,13.52±7.81,24.76±8.08,P0.01).The relapse rates in intervention and control groups were 18.18% and 34.75%(X2=10.03,P0.01) at end of the year and significant difference was found.Conclusion The comprehensive intervention is effective for social rehabilitation in schizophrenia.