认知行为疗法加药物治疗对首发精神分裂症的疗效观察

The Fifth Affiliated Hospital of Henan University of Science and Technology

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(4)
作者
作者单位

河南科技大学第五附属医院心理二区 ;

摘要
摘要 探析认知行为疗法联合药物治疗对首发精神分裂症患者的疗效及生活质量的影响。方法 前瞻性选取2015年1月~2016年12月期间精神科门诊和住院部收治的120例精神分裂症患者,采用随机抽签法将其分为2组,对照组给予喹硫平药物治疗并给予常规心理治疗,研究组在此基础上给予行为认知疗法,对比分析两组患者治疗效果及生存质量改善情况。结果 经6月(24周)治疗后,两组患者各项评分均明显低于治疗前(P<0.01),阴性症状、总分组间比较差异有显著统计学意义(P<0.01);研究组HAMD、HAMA评分较治疗明显降低,PSP评分较治疗前明显增高,组内和组间比较差异有显著统计学意义(P<0.05);两组患者心理社会、动机/精力、症状/副反应以及总分均明显降低,组内和组间比较差异有显著统计学意义(P<0.01);研究组复发率18.33%明显低于对照组的43.33%(χ2=8.7919,P=0.0030)。结论 认知行为疗法配合药物治疗能有效改善精神分裂症患者的精神症状,缓解抑郁、焦虑,恢复其自尊和自知力,促进生存质量的提高,同时提高患者服药依从性,预防复发,临床应用价值高。
Abstract
Abstract Objective Analysis of cognitive behavior therapy to split the influence on the quality of life in patients with the spirit, aims to provide reference for further and more effective in the treatment of schizophrenia. Methods From 2015 January ~2016 year prospective during December in psychiatric outpatient and inpatient department treated 120 cases of patients with schizophrenia, using randomly divided into 2 groups, The control group was treated with quetiapine and given conventional psychotherapy, the research group was treated on the basis of cognitive behavioral therapy comparing the two groups of patients, the therapeutic effect and quality of life improvement was analyzed. Results By June (24 weeks) after the treatment, the scores of all two groups of patients was significantly lower than before treatment (P < 0.01), there was significant negative symptoms and total score differences between groups (P < 0.01); research group HAMA HAMD, grading treatment significantly decreased compared with those before treatment, PSP score was significantly increased with statistical significance between groups and within groups comparison difference (P < 0.05); the two groups of patients psychological society, motivation / energy, symptoms / side reaction and the total score were significantly decreased, there was significant within group and between group differences (P < 0.01); 43.33% 18.33%, significantly lower than the control group and the study group the recurrence rate (2=8.7919, P=0.0030). Conclusion Cognitive behavior therapy combined with drug therapy can effectively improve the mental symptoms of schizophrenic patients, alleviate depression, anxiety, restoring their self-esteem and insight, promote quality of life improved, at the same time improve patient medication compliance and relapse prevention, clinical application.
关键词
关键词 精神分裂症;认知行为疗法;疗效;生活质量
KeyWord
Keywords schizophrenia; cognitive behavior therapy; curative effect; quality of life
基金项目
页码 611-614
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祁继鹏*,平丽慧,魏冬,吴光现,潘振山. 认知行为疗法加药物治疗对首发精神分裂症的疗效观察 [J]. 国际精神病学杂志. 2018; 45; (4). 611 - 614.

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