内观认知治疗对精神分裂症康复作用的探讨

Obverse of treated schizophrenia patients at convalescence by Nai-kan cognitive therapy

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(3)
作者
作者单位

上海市闵行区精神卫生中心 ;
海市提篮桥监狱 ;
复旦大学附属中山医院 ;

摘要
(摘要) 目的:探讨内观认知治疗精神分裂症康复期患者的疗效及对社会功能的影响。 方法:选取92例单一服用利培酮的住院精神分裂症康复期患者,随机分为治疗组(46例)和对照组(46)例,治疗组予药物治疗同时开展内观认知治疗,对照组则予药物治疗。治疗观察期为3个月。在治疗前及治疗后第12周分别以PANSS、SSPF及ITAQ量表进行精神症状、社会功能及自知力恢复情况的疗效评定。 结果:实际完成88例,脱落4例,研究组治疗后PANSS、SSPF、ITAQ总分值及各因子分比较治疗前差异有显著性(p<0.01);研究组和对照组相比较,研究组治疗后PANSS、SSPF、ITAQ评分值较对照组比较有统计学差异(p<0.01)。 结论: 内观认知治疗能有效改善精神分裂症患者的社会功能和精神症状,疗效优于单纯药物治疗,有助于促进精神分裂症患者的康复和预后。
Abstract
(Abstract) Objective:To obverse the effect of Nai-kan cognitive therapy and the influence of the social function on schizophrenia patients at convalescence. Methods: in this study, 92 schizophrenia patients at convalescence only treated by Risperidone were randomly divided into two groups. The control group was drug treatment and the duration of the treatment was three months. The efficacy of psychiatric symptoms, social function and self-healing were evaluated by PANSS, SSPF and ITAQ in the 12th week before and after treatment. Results: The actual completion of 88 cases, off 4 cases. The scores of PANSS, SSPF and ITAQ in the study group were significantly higher than those in the control group (p<0.01). Compared with the control group, the scores of PANSS, SSPF and ITAQ in the study group were significantly higher than those in the control group (p<0.01). Conclusion: Naikan cognitive therapy can effectively improve the social function and psychiatric symptoms of schizophrenic patients, the effect is better than simple drug therapy, help to promote the rehabilitation and prognosis of patients with schizophrenia.
关键词
(关键词)内观认知治疗 精神分裂症 康复期 疗效
KeyWord
(Key words) Naikan cognitive therapy; Schizophrenia; Convalescence; Effect
基金项目
页码 465-468
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孙国英*,彭乐存,曹艺苧,沈凤丽, 叶尘宇. 内观认知治疗对精神分裂症康复作用的探讨 [J]. 国际精神病学杂志. 2018; 45; (3). 465 - 468.

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