阅读疗法联合改良森田疗法对住院恢复期精神分裂症患者的康复疗效

Rehabilitation of hospitalized convalescent schizophrenic patients with reading therapy combined with modified Morita therapy

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(4)
作者
作者单位

华北理工大学心理与精神卫生学院 ;
开滦精神卫生中心 ;

摘要
目的:分析改良森田疗法联合阅读疗法对住院恢复期精神分裂症患者的临床疗效。方法:采用便利抽样选取2021年12月-2022年10月在开滦精神卫生中心住院的恢复期精神分裂症患者60例,根据随机数字表法分为研究组和对照组,每组30例。对照组接受改良森田疗法,研究组接受阅读疗法联合改良森田疗法,均干预8周。使用阳性和阴性症状量表(PANSS)、焦虑自评量表( SAS)、抑郁自评量表( SDS)评估疗效。结果:(1)两组干预前各项评分差异均无统计学意义(P>0.05);(2)干预8周后两组PANSS总分、阴性分、一般精神病理分在组间、时间、组间*时间的交互作用显著(两组总分:F组间=18.301、F时间=294.167、F组间*时间=111.276,P均<0.001;两组阴性分:F组间=12.252,P<0.05、F时间=262.106,P<0.001、F组间*时间=79.094,P<0.001;两组一般精神病理分:F组间=18.301、F时间=67.703、F组间*时间=176.405,P均<0.001);(3)干预8周后两组SAS、SDS评分均在时间的交互作用显著(F时间=69.935,P<0.001),SDS评分在干预第8周末,研究组评分低于对照组,差异有统计学意义(P<0.05),两组SAS评分在干预前后差异无统计学意义(P>0.05)。结论:改良森田疗法联合阅读疗法能有效改善恢复期精神分裂症患者的治疗效果,缓解患者焦虑抑郁情绪。
Abstract
Objective: To investigate the clinical efficacy of modified Morita therapy combined with reading therapy in the treatment of schizophrenia in the convalescent period. Methods: 60 schizophrenic patients who recovered in Kailuan Mental Health Center from December 2021 to October 2022 were randomly divided into study group and control group. The control group was treated with Morita improved therapy, and the study group was treated with reading method and Morita combined therapy for 8 weeks. Positive and negative symptom scale (PANS), self rating anxiety scale (SAS) and self rating depression scale (SDS) were used to evaluate the efficacy. Results: (1) there was no significant difference between the two groups before operation (P>0.05). After 8 weeks, there was a significant time interaction between the total components, negative components, general psychopathological components and time components of PANS in the two groups (total components of the two groups: F group=18.301, F time=294.167, Fgroup * time=176.405, P<0.001). Eight weeks after operation, the total score and negative score of PANS in the study group were lower than those in the control group, and the difference between the two groups was statistically significant (P<0.05). Conclusion: Modified Morita therapy and reading therapy can effectively improve the curative effect of schizophrenia patients in rehabilitation period, and reduce their anxiety and depression.
关键词
精神分裂症;康复治疗;改良森田疗法;阅读疗法
KeyWord
Schizophrenia improved;Rehabilitation treatment;Morita therapy;Reading therapy
基金项目
页码 666-669
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轩聪聪,马文有*,王志满. 阅读疗法联合改良森田疗法对住院恢复期精神分裂症患者的康复疗效 [J]. 国际精神病学杂志. 2023; 50; (4). 666 - 669.

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