辩证行为疗法对缓解期精神分裂症患者社会功能和病耻感的影响

Effects of Dialectical Behavior Therapy on Social Function and Stigma of Schizophrenics in Remission

ES评分 0

DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(3)
作者
作者单位

山西医科大学 ;
山西省社会福利精神康宁医院 ;

摘要
探讨辩证行为疗法对缓解期精神分裂症患者社会功能、病耻感的影响。方法 选取住院缓解期精神分裂症患者60例。随机分成两组,对照组30例,给予常规抗精神病药物和工娱治疗。实验组30例,在药物和工娱治疗的基础上给予辩证行为疗法干预(每周两次,每次60分钟,共8次)。采用阳性与阴性症状量表(PANSS)、住院慢性精神分裂症社会功能评定量表(SSSI)、精神病患者病耻感评估量表、精神分裂症患者生活质量量表(SQLS)评价干预效果。结果 实验组与对照组在SSSI、SQLS及病耻感前后测得分的差值上存在显著差异(t=-9.53, p<0.01;t=-13.20, p<0.01;t=-7.16, p<0.01)。两组在精神症状上没有显著差异(P>0.05)。结论 辩证行为疗法可以有效减轻精神分裂症患者病耻感,恢复患者社会功能。
Abstract
Objective To explore the effects of dialectical behavior therapy on social function and stigma in patients with schizophrenia in remission period. Methods Sixty patients with schizophrenia in remission were selected. Randomly divided into two groups, control group of 30 cases, the routine antipsychotics and entertainment treatment. In the experimental group, 30 patients were given dialectical behavior therapy intervention based on drug and entertainment therapy (60 minutes twice a week, 8 times in total). The positive and negative symptom scale (PANSS), social function rating scale for hospitalized chronic schizophrenia (SSSI), stigma rating scale for psychiatric patients, and quality of life scale for schizophrenics (SQLS) were used to evaluate the intervention effect. Results There were significant differences in the scores of SSSI, SQLS and stigma between the experimental group and the control group(t=-9.53,p<0.01;t=-13.20,p<0.01;t=-7.16,p<0.01). There was no significant difference in psychiatric symptoms between the two groups (P>0.05) . Conclusion Dialectical behavior therapy can effectively reduce the stigma of schizophrenia patients and restore their social function.
关键词
缓解期精神分裂症;辩证行为疗法;社会功能;病耻感
KeyWord
Remission schizophrenia; Dialectical behavior therapy; Social function; Stigma
基金项目
页码 410-412
  • 参考文献
  • 相关文献
  • 引用本文

张雪莹,武克文*. 辩证行为疗法对缓解期精神分裂症患者社会功能和病耻感的影响 [J]. 国际精神病学杂志. 2021; 48; (3). 410 - 412.

  • 文献评论

相关学者

相关机构