综合心理治疗模式对精神分裂症患者疗效的研究

The study on the effect of integrated psychotherapy model on schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(6)
作者
作者单位

新疆乌鲁木齐市精神病福利院 ;
新疆维吾尔自治区人民医院 ;
新疆医科大学公共卫生学院 ;
喀什地区康宁医院 ;

摘要
【摘要】目的:探讨综合心理治疗模式在治疗精神分裂症患者中的疗效评价。方法:本研究采用前瞻性-随机对照研究,筛选入组了就诊于我院精神科的精神分裂患者136例(预计入组140例,其中有2例患者中途退出,2例患者失访),通过随机数字表法进行随机分组,其中观察组入组患者67例,对照组入组患者69例。两组均进行常规药物治疗,观察组同时进行综合心理治疗模式的心理疗法。通过比较两组患者在认知功能、行为能力、焦虑状态,评价综合心理治疗模式的临床疗效。同时通过跟踪随访,评价两组患者疾病复发情况。结果:观察组在治疗综合心理模式治疗前后其MCCB评分(语言流畅性、连线、数字序列、空间广度、持续操作训练、情绪管理)和STAI评明显降低,其差异有统计学意义(P <0.05)。治疗后观察组和对照组比较,其MCCB评分(语言流畅性、连线、数字序列、持续操作训练、情绪管理)和STAI评明显降低,其P均<0.05。观察组1年复发率为13.43%明显小于对照组(复发率为28.99%)。结论:精神分裂症患者采取综合心理模式的心里治疗,能够明显改善患者的认知功能和行为能力,能够明显减轻患者的焦虑状态,且治疗效果较为确切,疾病复发几率较低。
Abstract
[Abstract]Objective: To evaluate the efficacy of comprehensive psychotherapy in the treatment of schizophrenic patients. Methods: A prospective randomized controlled trial was conducted in 136 patients (13 patients enrolled in the psychiatric department of our hospital who were enrolled in the study), 2 patients were withdrawn and 2 patients were lost) Randomized grouping was performed by random number table method. Among them, 67 patients were enrolled in the observation group and 69 patients in the control group. Both groups were treated with conventional drugs, and the observation group was treated with psychotherapy at the same time. By comparing the two groups of patients in cognitive function, behavioral capacity, anxiety status, the clinical efficacy of comprehensive psychological treatment model. At the same time, follow-up follow-up to evaluate the recurrence of disease in both groups. Results: The MCCB scores (language fluency, connection, digital sequence, spatial breadth, continuous operation training, emotional management) and STAI were significantly lower in the observation group before and after treatment (P < 0.05). Compared with the control group, the MCCB score (language fluency, connection, digital sequence, continuous operation training, emotional management) and STAI were significantly lower in the observation group and the control group (P <0.05). The recurrence rate was 13.43% in the observation group, which was significantly lower than that in the control group (recurrence rate was 28.99%). Conclusion: Schizophrenia patients with comprehensive psychological model of heart treatment, can significantly improve the patients cognitive function and behavioral ability, can significantly reduce the patients anxiety state, and the treatment effect is more accurate, the risk of recurrence of the disease is low.
关键词
【关键词】综合心理治疗模式;精神分裂症;认知功能;焦虑状态;复发率
KeyWord
[Key words] Integrated psychotherapy model; Schizophrenia; Cognitive function; Anxiety state; Recurrence rate
基金项目
页码 995-997
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高文玉,阿地拉.阿吉,张晨*,多力坤江·祖农,杨平. 综合心理治疗模式对精神分裂症患者疗效的研究 [J]. 国际精神病学杂志. 2017; 44; (6). 995 - 997.

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