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[目的] 探讨心境-促进协作医疗( IMPACT)管理模式对改善社区精神分裂症患者抑郁和焦虑状况的影响. [方法] 在上海市高东镇在册管理的187例精神分裂症患者中,筛选出符合条件的精神分裂症患者119例,随机分为干预组60例和对照组59例. 干预组用IMPACT模式管理,对照组用日常管理方式管理. 入组前、入组6、12及18个月时分别进行评定和随访. [结果] 干预12个月后,干预组抑郁自评量表得分明显低于对照组( P<0.05或0.01);观察6个月后,干预组焦虑自评量表得分明显低于对照组(P<0.05或0.01). [结论] IMPACT模式能改善社区精神分裂症患者伴发的抑郁和焦虑,有利于预防病情复发.,[ Objective] To discuss the effect of IMPACT on community schizophrenes’depression and anxiety, as well as the reduction of disease relapse. [ Methods] By means of cluster sampling were included 187 registered schizophrenes from Regional Mental Illness Management System.According to the scheduled inclusion criteria, 119 of them were selected and divided randomly, into a 60 -member intervention group and a 59 -member control group.Only in the intervention group was IMPACT model used.Follow-up and evaluation was made with SDS and SAS on the two groups before grouping, and at 6-months, 12-months and 18-months after grouping. [ Results] After 12 months’observation, the SDS score of the intervention group was obviously lower than that of the control group (P<0.05 or 0.01). After 6 months’observation, the SAS score of the intervention group was also obviously lower than that of the control group ( P<0 .05 or 0 .01 ) . [ Conclusion] IMPACT model can reduce the depression and anxi-ety degree of community schizophrenes, and help prevent relapses of the disease.