青少年首发精神分裂症父母心理综合干预及对患者早期就诊形式的影响

Comprehensive Psychological Intervention of Parents with First-episode Schizophrenia in Adolescents and Its Impact on Early Visiting Forms of Patients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(5)
作者
作者单位

洛阳市第五人民医院 ;

摘要
目的:观察青少年首发精神分裂症父母心理综合干预及对患者早期就诊形式的影响。方法:将2018年1月~2018年12月80例符合入组标准的青少年首发精神分裂症患者纳入研究对象,遵循随机原则将患者分为观察组(40例)与对照组(40例),观察组接受系统心理综合干预,对两组患者父母干预前后HAMA(焦虑)、HAMD(抑郁)评分进行综合评估,并通过电话随访的形式了解患者就诊形式,做好相应的记录。结果:干预后观察组患者家属HAMA、HAMD评分明显降低,与对照组比较差异有统计学意义(P<0.05);首诊3个月后观察组患者中有85.0%(68/80)接受正规系统治疗,对照组仅有40.0%(32/80)患者接受正规治疗,两组差异有统计学意义(P<0.05)。结论:对青少年首发精神分裂症患者父母给予心理综合干预,能够增强对疾病的认知,有利于患者接受正规系统治疗,值得推广应用。
Abstract
Objective: To observe the comprehensive psychological intervention of parents of adolescents with first-episode schizophrenia and its effect on the early form of treatment. Methods: 80 adolescents with first-episode schizophrenia who met the criteria of admission from January 2018 to December 2018 were included in the study. The patients were randomly divided into observation group (40 cases) and control group (40 cases). The observation group received systematic psychological intervention. The HAMA (anxiety) and HAMD (depression) scores of the two groups before and after parentsintervention were evaluated comprehensively, and the scores were evaluated by electricity. The form of follow-up visits to understand the patients form of treatment, do a good job of the corresponding records. Results: After the intervention, the HAMA and HAMD scores of the family members of the patients in the observation group were significantly lower than those in the control group (P < 0.05); 85.0% (68/80) of the patients in the observation group received regular systematic treatment three months after the first visit, while only 40.0% (32/80) of the patients in the control group received regular treatment, the difference between the two groups was statistically significant (P < 0.05). Conclusion: Comprehensive psychological intervention to parents of adolescent first-episode schizophrenia patients can enhance their awareness of the disease and help patients to receive regular and systematic treatment, which is worthy of popularization and application.
关键词
青少年首发精神分裂症;心理综合干预;早期就诊形式;HAMA
KeyWord
adolescent first-episode schizophrenia; comprehensive psychological intervention; early form of medical treatment; HAMA
基金项目
页码 841-842
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马雁冰*. 青少年首发精神分裂症父母心理综合干预及对患者早期就诊形式的影响 [J]. 国际精神病学杂志. 2019; 46; (5). 841 - 842.

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