认知行为疗法联合利培酮对男性精神分裂症患者症状、病耻感和生活质量的影响

The effect of cognitive behavioral therapy combined with risperidone on symptoms, shame, and quality of life in male patients with schizophrenia

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

安徽省阜阳市第三人民医院精神科 ;

摘要
[摘要] 探讨认知行为疗法联合利培酮对男性精神分裂症患者症状、病耻感和生活质量的影响。方法 选取2020年1月~2021年12月本院收治的男性精神分裂患者100例,抽签随机分为观察组和对照组,各50例。对照组给予利培酮干预治疗,观察组在对照组基础上进行认知行为干预,均干预治疗12周。比较两组干预前后阳性和阴性症状量表(positive and negative symptom scale,PANSS)评分、中文版自我怜悯量表(Self Compassion Scale,SCS-C)、Link病耻感量表(Link Disease Shame Scale,LDS)、生活质量综合评定问卷(Quality of Life Comprehensive Assessment Questionnaire,GQOLI-74)评分。结果 观察组干预后阴性症状评分低于同组干预前及对照组干预后(P<0.05)。观察组干预后SCS-C及GQOLI-74各项评分评分高于同组干预前及对照组干预后,LDS评分低于同组干预前及对照组干预后(P<0.05)。结论 认知行为疗法联合利培酮用于男性精神分裂症,能够显著改善患者阴性症状和生活质量。
Abstract
[Abstract] Objective Explore the effects of cognitive behavioral therapy combined with risperidone on symptoms, shame, and quality of life in male patients with schizophrenia.Method 100 male schizophrenia patients admitted to our hospital from January 2020 to December 2021 were selected and randomly divided into an observation group and a control group, with 50 patients in each group.The control group received intervention therapy with risperidone, while the observation group received cognitive and behavioral intervention on the basis of the control group, both receiving intervention therapy for 12 weeks. Compare the positive and negative symptom scale (PANSS) scores, Chinese version of Self Compassion Scale (SCS-C), Link Disease Shame Scale (LDS), and Quality of Life Comprehensive Assessment Questionnaire (GQOLI-74) scores between the two groups before and after intervention.Result The negative symptom score after intervention in the observation group was lower than that before intervention in the same group and after intervention in the control group (P<0.05). After intervention, the SCS-C and GQOLI-74 scores in the observation group were higher than those in the same group before intervention and the control group after intervention, while the LDS scores were lower than those in the same group before intervention and the control group after intervention (P<0.05).Conclusion Cognitive behavioral therapy combined with risperidone can significantly improve negative symptoms and quality of life in male schizophrenia.
关键词
[关键词] 认知行为疗法;利培酮;精神分裂症;精神症状
KeyWord
[Key word]Cognitive behavior therapy;Risperidone;Schizophrenia;Mental symptoms
基金项目
页码 973-977
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马倩茹*. 认知行为疗法联合利培酮对男性精神分裂症患者症状、病耻感和生活质量的影响 [J]. 国际精神病学杂志. 2023; 50; (5). 973 - 977.

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