基于同伴互助的团体认知行为治疗对不同住院时间男性慢性精神分裂症患者干预效果的临床观察

Curative effect of Peer-Delivered Cognitive Behavioral Therapy on male chronic schizophrenic patients with different lengths of hospitalization

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(5)
作者
作者单位

芜湖市第四人民医院精神康复科 ;

摘要
【摘要】目的:探讨不同住院时间男性慢性精神分裂症患者进行基于同伴互助的团体认知行为治疗后阴性症状、社会功能及认知功能障碍改善程度之间的差异。方法:随机分配为住院时间高于3年和低于3年的团体治疗组和药物治疗组,在治疗基线、第12周以及20周,分别采用精神分裂症患者阳性和阴性症状量表(PANSS)阴性症状量表、社会功能评定量表(SSFPI)、自尊量表(SES)、霍普金斯语言学习测验(HVLT)、范畴流畅测验(CFAN)进行临床评估。结果:治疗第12周,无论住院时间长短,HVLT、CFAN、SES、SSFPI均高于药物治疗组,PANSS低于药物治疗组;第20周,住院时间3年以上,HVLT、CFAN、SES均高于药物治疗组;住院时间3年以内,CFAN及SES高于药物治疗组,PANSS低于药物治疗组(均P<0.05)。结论:本研究表明不论住院时间长短,团体认知行为治疗干预后对男性慢性精神分裂症患者的阴性症状、社会功能及认知功能障碍疗效更佳,且效果持久,值得临床广泛应用。
Abstract
[Abstract]Objective: To explore the improvement differences in negative symptoms, social function, and cognitive dysfunction after peer-delivered cognitive behavioral therapy (CBT) for male chronic schizophrenic patients with different lengths of hospitalization. Methods: Randomly assigned groups according to the length of hospitalization and CBT at baseline, 12 weeks and 20 weeks. The negative symptom scale (PANSS), Social Functioning Scale for Hospitalized Psychiatric Patients (SSFPI), Self-Esteem Scale (SES), Hopkins Verbal Learning Test (HVLT), and the Category Fluency Test (CFAN) were used for clinical assessment. Results: After treatment for 12 weeks, regardless of the length of hospitalization, HVLT, CFAN, SES and SSFPI were higher than in drug therapy group, PANSS negative symptoms scale was lower than the drug therapy group; At 20 weeks, for hospitalized time more than 3 years, HVLT, CFAN,and SES were higher than in drug treatment group; for hospitalized time within 3 years, CFAN and SES were higher than drug therapy group, PANSS was lower than the drug therapy group (P < 0.05). Conclusion: CBT were effective in negative symptoms,social functioning and cognitive dysfunction for male patients with chronic schizophrenia,regardless of the length of hospitalization.
关键词
【关键词】精神分裂症;团体心理治疗;同伴互助;认知功能障碍;社会功能
KeyWord
[Keywords] Schizophrenia; group psychotherapy; Peer-delivered; cognitive dysfunction; social function
基金项目
页码 987-989
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李瑞*. 基于同伴互助的团体认知行为治疗对不同住院时间男性慢性精神分裂症患者干预效果的临床观察 [J]. 国际精神病学杂志. 2023; 50; (5). 987 - 989.

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