心理治疗联合阿立哌唑治疗精神分裂症阴性症状患者的临床疗效

Clinical efficacy of psychotherapy combined with aripiprazole in the treatment of patients with negative symptoms of schizophrenia

ES评分 0

DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(1)
作者
作者单位

洛阳市精神卫生中心科室药械科 ;

摘要
目的:探讨精神分裂症阴性症状患者在阿立哌唑给药基础上,加用心理治疗方案效果及预后。方法:选择2017年9月至2018年9月我院精神科收治的80例精神分裂症阴性症状患者为研究对象,采用数字表抽取法随机分组,就单采用阿立哌唑治疗(对照组,n=40)与联用心理治疗(观察组,n=40)阳性和阴性综合征量表总分及阴性症状评分、疾病严重程度评分、抑郁症状评分、生活质量评分及认知功能评分展开对比。结果:两组治疗前,PANSS总分及阴性症状评分无差异(P>0.05),治疗后12周,相较治疗前,各评分均有降低,且观察组经评估,降低程度较对照组更为显著,差异具有统计学意义(P<0.05)。疾病严重程度评分、抑郁症状评分、生活质量评分展在治疗前经测验无差异(P>0.05),治疗后各项分值经测验较治疗前均有改善,且观察组改善程度较对照组更为显著,差异具有统计学意义(P<0.05)。两组治疗前,认知功能量表各维度即持续错误数、随机错误数、完成分类数、总正确数评分无差异(P>0.05),治疗后,持续错误数、随机错误数评分均有降低,总正确数、完成分类数评分均有升高,但相较对照组,观察组降低和升高程度更为显著,差异具有统计学意义(P<0.05)。结论:针对临床收治的精神分裂症阴性症状患者,在阿立哌唑给药基础上,加用心理治疗方案,可显著消除阴性症状,降低抑郁程度,改善疾病严重程度、提高生活质量,增强认知功能,具有非常重要的开展价值。
Abstract
Objective: To investigate the effect and prognosis of psychotherapy regimens based on the administration of aripiprazole in patients with negative symptoms of schizophrenia. METHODS: Eighty patients with negative symptoms of schizophrenia admitted to our department from September 2017 to September 2018 were enrolled in the study. They were randomized by digital table extraction and treated with aripiprazole alone (control group, n=40)Compared with combined psychotherapy (observation group, n=40) positive and negative syndrome scale total score and negative symptom score, disease severity score, depressive symptom score, quality of life score and cognitive function score . RESULTS: There was no difference in PANSS total scores and negative symptom scores between the two groups before treatment (P>0.05). At 12 weeks after treatment, the scores were lower than before treatment, and the observation group was evaluated to a lower degree than the control group. Significantly, the difference was statistically significant (P < 0.05). Disease severity score, depressive symptom score, and quality of life score showed no difference before treatment (P>0.05). After treatment, the scores of the scores were improved compared with before treatment, and the improvement of the observation group was better than that of the control group. Significantly, the difference was statistically significant (P < 0.05). Before treatment, there were no differences in the number of continuous errors, random errors, number of completed classifications, and total correct scores in the cognitive function scales (P>0.05). After treatment, the number of persistent errors and random errors were scored. The scores of the total number of correct and the number of completed classifications were increased, but the reduction and elevation of the observation group were more significant than the control group, and the difference was statistically significant (P<0.05). Conclusion: For patients with negative symptoms of schizophrenia in clinical practice, the addition of psychotherapy to aripiprazole can significantly eliminate negative symptoms, reduce the degree of depression, improve the severity of the disease, improve the quality of life, and enhance recognition. Knowledge function has very important development value.
关键词
精神分裂症;阴性症状;阿立哌唑;心理治疗;症状评分;生活质量;认知功能
KeyWord
schizophrenia; negative symptoms; aripiprazole; psychotherapy; symptom score; quality of life; cognitive function
基金项目
页码 37-39
  • 参考文献
  • 相关文献
  • 引用本文

李丽静*. 心理治疗联合阿立哌唑治疗精神分裂症阴性症状患者的临床疗效 [J]. 国际精神病学杂志. 2020; 47; (1). 37 - 39.

  • 文献评论

相关学者

相关机构