中国临床心理学杂志

重性精神疾病同伴支持服务效果的心理机制探讨

作者：范云歌马宁马弘

单位：北京大学第六医院北京大学精神卫生研究所卫生部精神卫生学重点实验室(北京大学) 北京 100191

分类号：R395.5

出版年,卷(期):页码：2016,24(6):1138-1142

摘要：

重性精神疾病同伴支持服务是一种低成本、具有明确疗效、能使多方受益的康复方法，符合精神疾病服务模式发展的需要。本文从直接效果和中介效果两个角度来探讨其起作用的心理学机制。其中，直接效果机制分别从社会支持和团体互动两方面来说明同伴支持服务能促进重性精神疾病患者更好地融入社会，进而为其社会功能的恢复和持续康复起到直接效果；中介效果机制从自我效能感，人本主义理论和缓解社会歧视三个方面来阐述同伴支持服务对重性精神疾病患者康复所起的间接影响，认为同伴支持服务作为一种内部成长力量影响其日后的生活，从而帮助患者完善社会功能，更好地适应社会。通过本文对其心理机制的探讨，希望为同伴支持服务在我国重性精神疾病患者中的应用和推广提供参考。

Peer support is a low cost method of rehabilitation for patients with severe mental illnesses, which has a specific effect and can benefit receivers in many ways. Moreover, it meets the needs of mental illness services. This paper discussed the psychological mechanism of peer support service from the direct effect way and the mediating effect way. The direct effect way was discussed from social support and group interaction to demonstrate that peer support service can help the patients with severe mental illness integrate into society better, and improve their social function. The mediating effect way was discussed from self-efficacy, humanism and reducing social discrimination. It considered peer support service as an internal growth power to help patients improve their social function. The aim of this paper is to provide the reference of the application and promotion of peer support in patients with severe mental illnesses.

基金项目：

国家自然科学基金（71203003），首都卫生发展科研专项基金（2014-3-4111）

作者简介：

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