Impact of flexible assertive community treatment model (FACT) on community rehabilitation of schizophrenia in Southern China

• Published in: Neurogenetics 2024-10, Vol.25 (4), p.481-486
• Main Authors: Zhao, Yinglin, Zheng, Shaoxiong, Zhang, Handi, Zhang, Yinnan, Wang, Zidong, Huang, Qingjun
• Format: Article
• Language: English
• Subjects: Adult; China; Community Mental Health Services - methods; Female; Human Genetics; Humans; Male; Medicine; Medicine & Public Health; Mental disorders; Middle Aged; Molecular Medicine; Neurology; Neurosciences; Psychiatric Status Rating Scales; Psychopathology; Quality of Life; Rehabilitation; Schizophrenia; Schizophrenia - rehabilitation; Schizophrenic Psychology; Statistical analysis; Treatment Outcome; Young Adult; Young adults
• ISSN: 1364-6753; 1364-6745; 1364-6753
• DOI: 10.1007/s10048-024-00778-4

Schizophrenia is a group of severe mental illnesses of unknown etiology, most of which are slow or subacute in young adults. 160 adult schizophrenic patients were randomly divided into an intervention group given FACT and a control group given routine mental health follow-up. The scale includes the Positive and Negative Syndrome Scale (PANSS), Social Disability Screening Schedule Scale (SDSS), and the World Health Organization’s multicultural quality of life instrument in its brief form Scale(WHOQOL-BREF) were recorded. The average scores of positive scale, negative scale, general psychopathology scale and total score in PANSS scale before intervention(baseline) of the patients in the intervention group were 24.90 ± 5.43, 17.53 ± 3.84, 38.31 ± 4.09 and 80.54 ± 6.75. After 6 months and 12 months of intervention, positive scale, negative scale, general psychopathology scale and total score of the PANSS scale in the intervention group and the total score of SDSS all decreased significantly. The WHOQOL-BREF total score was significantly improved, and the differences were statistically significant ( P