积极情绪体验对慢性精神分裂症患者的应用价值研究

Effects of positive emotion training in chronic patients with schizophrenia.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(2)
作者
作者单位

解放军第九十一中心医院精神科,全军精神疾病防治研究所 ;

摘要
目的 探讨积极情绪体验对慢性精神分裂症患者阴性症状、社会功能和生活质量的影响。方法 将符合美国精神障碍诊断与统计手册第4版(DSM-IV)精神分裂症诊断标准的84例慢性患者随机分为两组,对照组(n =41)继续原常规治疗,研究组(n =43)给予为期8周以积极情绪体验为主的心理行为训练。采用阴性症状量表(SANS)、住院精神病人社会功能评定量表(SSPI)和精神分裂症病人生活质量量表(SQLS)于训练前后分别评估患者的阴性症状、社会功能和生活质量。结果 研究组训练后SANS总分、情感平淡或迟钝、思维贫乏及意志缺乏等因子分低于训练前(t =5.115,P <0.001;t =3.258,P =0.002;t =3.305,P =0.001;t =6.089,P <0.001),且低于对照组训练后(t =3.018,P =0.003;t =2.216,P =0.030;t =2.314,P =0.023;t =3.413,P =0.001),差异有统计学意义。研究组训练后SSPI总分、日常生活能力评分升高(t =2.273,P =0.026;t =3.171,P =0.002),且高于对照组训练后(t =2.293,P =0.024;t =2.658,P =0.009),SQLS总分、动力/精力评分下降(t =2.591,P =0.011;t =4.111,P <0.001),且低于对照组训练后(t =2.140,P =0.035;t =3.532,P <0.001),均差异有统计学意义。结论 积极情绪体验有助于减轻慢性精神分裂症患者的情感平淡或迟钝、思维贫乏及意志缺乏等阴性症状,对社会功能和生活质量有改善作用。
Abstract
Objective To evaluate the application effect of positive emotion training in chronic schizophrenia with re-gard to negative symptoms,social function,andqualityof life. ,social function,andqualityof life. social function,andqualityof life. ,andqualityof life. and quality of life. Methods Eighty-four hospitalized chronic patients withschizophrenia met with DSM-IV were randomly divided into 2 groups. 43 patients received 8 weeks positive emotion training(studygroup),and41patientsdidn’t(controlgroup). Theantipsychoticsweretakenasbefore. ScalefortheAssessment study group),and41patientsdidn’t(controlgroup). Theantipsychoticsweretakenasbefore. ScalefortheAssessment ),and41patientsdidn’t(controlgroup). Theantipsychoticsweretakenasbefore. ScalefortheAssessment and 41 patients didn’t (controlgroup). Theantipsychoticsweretakenasbefore. ScalefortheAssessment (controlgroup). Theantipsychoticsweretakenasbefore. ScalefortheAssessment control group). Theantipsychoticsweretakenasbefore. ScalefortheAssessment ). Theantipsychoticsweretakenasbefore. ScalefortheAssessment . The antipsychotics were taken as before. Scale for the Assessmentof Negative Symptoms (SANS),ScaleofSocialfunctioninPsychosisInpatients(SSPI)andSchizophreniaQualityofLife (SANS),ScaleofSocialfunctioninPsychosisInpatients(SSPI)andSchizophreniaQualityofLife SANS),ScaleofSocialfunctioninPsychosisInpatients(SSPI)andSchizophreniaQualityofLife ),ScaleofSocialfunctioninPsychosisInpatients(SSPI)andSchizophreniaQualityofLife Scale of Social function in Psychosis Inpatients (SSPI)andSchizophreniaQualityofLife (SSPI)andSchizophreniaQualityofLife SSPI)andSchizophreniaQualityofLife )andSchizophreniaQualityofLife and Schizophrenia Quality of LifeScale (SQLS)wasmeasuredbeforeandaftertraining. Results Instudygroup,SANStotalscore,scoreofaffectiveflatten- (SQLS)wasmeasuredbeforeandaftertraining. Results Instudygroup,SANStotalscore,scoreofaffectiveflatten- SQLS)wasmeasuredbeforeandaftertraining. Results Instudygroup,SANStotalscore,scoreofaffectiveflatten- )wasmeasuredbeforeandaftertraining. Results Instudygroup,SANStotalscore,scoreofaffectiveflatten- was measured before and after training. Results In study group,SANStotalscore,scoreofaffectiveflatten- ,SANStotalscore,scoreofaffectiveflatten- SANS total score,scoreofaffectiveflatten- ,scoreofaffectiveflatten- score of affective flatten-ing,alogia,andavolition-apathydecreasedobviouslyaftertraining( ,alogia,andavolition-apathydecreasedobviouslyaftertraining( alogia,andavolition-apathydecreasedobviouslyaftertraining( ,andavolition-apathydecreasedobviouslyaftertraining( and avolition-apathy decreased obviously after training (t =5.115,P <0.001;t =3.258,P =0.002;t =3.305,P =0.001;t =6.089,P <0.001). Thefactorsmentionedabovewerelessthanthoseincontrolgroup( ). Thefactorsmentionedabovewerelessthanthoseincontrolgroup( . The factors mentioned above were less than those in control group (t =3.018,P =0.003;t =2.216,P =0.030;t =2.314,P =0.023;t =3.413,P =0.001). Comparedwithbeforetraininginstudygroup,SSPItotal ). Comparedwithbeforetraininginstudygroup,SSPItotal . Compared with before training in study group,SSPItotal ,SSPItotal SSPI totalscore and score of activity of daily living increased (t =2.273,P =0.026;t =3.171,P =0.002),SQLStotalscoreandscoreof ),SQLStotalscoreandscoreof SQLS total score and score ofmotivation/energy decreased obviously after training (t =2.591,P =0.011;t =4.111,P <0.001).Differencesofthosefactors ).Differencesofthosefactors . Differences of those factorsbetween two groups were of great significance (t =2.293,P =0.024;t =2.658,P =0.009;t =2.140,P =0.035;t =3.532,P <0.001).Conclusion Positiveemotiontrainingmayalleviatethenegativesymptomsofchronicschizophrenia,suchasaf- ).Conclusion Positiveemotiontrainingmayalleviatethenegativesymptomsofchronicschizophrenia,suchasaf- . Conclusion Positive emotion training may alleviate the negative symptoms of chronic schizophrenia,suchasaf- ,suchasaf- such as af-fective flattening,alogia,andavolition-apathy,improvesocialfunction,increasequalityoflife. ,alogia,andavolition-apathy,improvesocialfunction,increasequalityoflife. alogia,andavolition-apathy,improvesocialfunction,increasequalityoflife. ,andavolition-apathy,improvesocialfunction,increasequalityoflife. and avolition-apathy,improvesocialfunction,increasequalityoflife. ,improvesocialfunction,increasequalityoflife. improve social function,increasequalityoflife. ,increasequalityoflife. increase quality of life.
关键词
积极情绪;精神分裂症;阴性症状;社会功能;生活质量
KeyWord
Positive emotion;Schizophrenia;Negativesymptom;Socialfunction;Qualityoflife ;
基金项目
页码 282-284
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甘景梨*,高存友,史振娟,祝希泉,白 晶,段惠峰. 积极情绪体验对慢性精神分裂症患者的应用价值研究 [J]. 国际精神病学杂志. 2016; 43; (2). 282 - 284.

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