自我角色认同训练对精神分裂症患者精神及行为的影响

Impact of Self Role Identity Training on the Mental and Behavioral well-being of Patients with Schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2025, 52(2)
作者
作者单位

首都医科大学附属北京安定医院芜湖医院(芜湖市第四人民医院)重性精神病科

摘要
摘要:目的 探讨自我角色认同训练对精神分裂症患者精神及行为的影响。方法 选择2021年9月-2024年4月85例精神分裂症患者,编号分组法随机分为两组。对照组给予抗精神病药物治疗,观察组在药物治疗基础上进行自我角色认同训练。比较治疗前后阴性与阳性量表 (Positive and negative syndrome scale, PANSS)、激越行为量表(Cohen-Mansfield agitation inventory,CMAI)。结果 治疗后两组阴性、阳性以及精神病理评分均较治疗前明显降低,但观察组治疗后3项评分均显著低于对照组,(P<0.05);治疗后两组语言性激越行为、躯体(非)攻击行为评分均较治疗前明显降低,但观察组治疗后各项评分均显著低于对照组,(P<0.05)。结论 自我角色认同训练用于精神分裂症患者能够促进其精神症状的改善,并减少激越行为。
Abstract
[Abstract] Objective To explore the impact of self role identity training on the mental and behavioral well-being of patients with schizophrenia. Methods Eighty-five patients with schizophrenia from September 2021 to April 2024 were selected. They were randomly divided into two groups using the numbering grouping method. The control group received antipsychotic medication treatment, while the observation group underwent self role identification training on the basis of medication treatment. The Positive and Negative Syndrome Scale (PANSS) and Cohen Mansfield Agitation Inventory (CMAI) before and after treatment were compared. Results After treatment, the negative, positive, and psychopathological scores of both groups were significantly reduced compared to before treatment, but the observation group had significantly lower scores in all three aspects compared to the control group after treatment (P<0.05). After treatment, the scores of verbal agitation behavior and physical (non) aggression behavior in both groups were significantly reduced compared to before treatment, but the scores in the observation group were significantly lower than those in the control group after treatment (P<0.05). Conclusion Self role identity training for patients with schizophrenia can promote the improvement of their mental symptoms and reduce impulsive behavior.
关键词
关键词:自我角色认同训练;精神分裂症;精神;激越行为
KeyWord
Key words Self Role Identification Training; Schizophrenia; Spirit; Provocative Behavior
基金项目
页码 414-416
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吴亚云. 自我角色认同训练对精神分裂症患者精神及行为的影响 [J]. 国际精神病学杂志. 2025; 52; (2). 414 - 416.

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