Journal of International Psychiatry

【Abstract】Objective To investigate the long-term effects of support psychological intervention and day rehabilitation community for the patients with chronic schizophrenics. Methods By a randomized ,controlled, and open clinical trial design 80 patients with chronic schizophrenics were divided into two groups, the intervention group of 40 patients receiving support psychological intervention and community day rehabilitation, the control group of 40 patients receiving routine follow-up treatment, and Positive and negative syndrome scale (PANSS), Morningside rehabilitation status scale (MRSS) ,Insight and treatment attitudes questionnaire (ITAQ) were used to assess the effects of the two groups at pre-intervention, and 12 months after intervention while the relapse and rehospitalization rate were evaluative. Results The total score of PANSS and negative syndrome scale of patients treated with intervention after 12 months had statistically decreased (p<0.05),the total score of Morningside rehabilitation status scale and it’s factor scores(dependency and lack of activity and social ability) in the intervention group decreased significantly than the control group (p<0.05) while there was no difference in the factor scores of symptoms between two groups, and ITAQ scores statistically increased in intervention group than in control groups. The relapse and rehospitalization rate of intervention group was significant lower than that of control group. Conclusions Support psychological intervention and day rehabilitation training in community can help to improve the symptoms and the insight, to enhance the level of rehabilitation for the patient with chronic schizophrenics. Community rehabilitation in patients with chronic schizophrenia needs to be maintained for a long time.

【Key words】Schizophrenics; Support psychological intervention Day rehabilitation training; Rehabilitation