认知行为治疗对残留型精神分裂症的临床效果

Clinical effect of Cognitive-behavior therapy on patients with residual schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(5)
作者
作者单位

西安市康宁精神病医院 ;
西安市精神卫生中心 ;

摘要
摘要:目的:探讨认知行为治疗对残留型精神分裂症的效果。方法:将90例残留型精神分裂症患者随机分为研究组和对照组,两组在维持原治疗药物不变的基础上,研究组予以认知行为治疗,对照组仅一般的疾病指导,分别于治疗前后用阴性和阳性症状量表(PANSS)和个人与社会表现量表(PSP)进行评定疗效。结果:治疗3月末,研究组阴性因子分及一般病理分显著低于对照组(P<0.05),治疗6月末,研究组PANSS总分、阴性因子分及阳性因子分显著低于对照组(P<0.05或 P<0.01);治疗3月末和治疗6月末研究组较对照组PSP评分增加更显著,差异有统计学意义(P<0.05或 P<0.01)。结论:在药物治疗的基础上,认知行为治疗能显著改善残留型精神分裂症的症状,提高患者的社会功能和生活质量。
Abstract
Abstract: Objective :To assess the clinical effect of Cognitive-Behavior Therapy for patients with residual schizophrenia .methods 90 residual schizophrenic patients were randomly divided into two groups of 45 ones each . both groups maintained original antipsychotic treatment, on this basis research group received treatment with CBT, control group received general disease guide , both interventions lasted 6 months, Before and after treatment efficacies were assessed using the Positive and Negative Syndrome Scale(PANSS) and personal and social performance scale(PSP).results After three months of treatment, the reduction of negative symptoms score and general score in research was significantly lower than control group(P<0.05), After six months of treatment, The reduction of PANSS total score ,negative score and positive score in research was significantly low than control group(P<0.05或 P<0.01) , at the end of three months and six months , the scores of the PSP in research group are more significantly higher than those in control group (P<0.05或 P<0.01). Conclusion: On the basis of the antipsychotic treatment, Cognitive-Behavior Therapy can increase the improvement on clinical symptoms ,Life quality and social function in residual schizophrenic patients.
关键词
关键词:认知行为治疗;残留型精神分裂症;生活质量;社会功能
KeyWord
Key words: Cognitive-Behavior Therapy; residual schizophrenia; life quality ;social functoin
基金项目
页码 855-857
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王飞*,刘晓凤,王岩刚,蒋小苹. 认知行为治疗对残留型精神分裂症的临床效果 [J]. 国际精神病学杂志. 2018; 45; (5). 855 - 857.

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