认知领悟治疗对精神分裂症患者自知力及治疗依从性的影响  

The Effect of Cognition Therapy on the Insight and the Compliance of Schizophrenia Patients

作　　者：李水潮 苏勉 苏天勋 王彩琴[1] 凌翰 程国强[1] 

机构地区：[1]肇庆市第三人民医院,广东肇庆526060

出　　处：《国际医药卫生导报》2007年第19期18-21,共4页International Medicine and Health Guidance News

摘　　要：目的探讨认知领悟治疗对精神分裂症患者自知力的恢复及治疗依从性的影响。方法将1OO例精神分裂症患者随机分为研究组和对照组各5O例。研究组：药物加认知领悟治疗，对照组：药物加普通心理治疗，出院后随访2年，以自知力与治疗态度问卷量表（ITAQ）和简明精神病评定量表（BPRS）进行评定，观察两组患者自知力恢复情况及治疗依从性、复发率。结果出院时，出院后1年、2年ITAQ评分，服药依从性及复发率两组比较，差异有显著性意义（P〈O.005或P〈O.001）；BPRS评分出院时两组差异无显著性意义（P〉O.05），出院后1年、2年两组比较，差异有显著性意义（P〈O.O01）。结论认知领悟治疗可有效地恢复精神分裂症患者的自知力，提高维持治疗中的依从性、降低复发率。Objective To study the effect of cognition therapy on the insight and the compliance of schizophrenia. Methods Divided 100 schizophrenia patients into study group and control group randomly, there were 50 cases in the each group. The study group treated with drug plus cognition therapy and the control group treated with drug plus common psychotherapy. Follow up 2 years, evaluated the effect by ITAQ and BPRS, studied the compliance , recurrence and disability rate. Results BPRS score, ITAQ score, the compliance and recurrence rate were obviously improved in the study group compared with the control group （P〈0.001, P〈0.005 or P〈0.001）. Conclusions Cognition therapy can effectively resume the insight of schizophrenia patients, elevate the compliance and reduce recurrence rate.

关 键 词：认知领悟治疗 精神分裂症 依从性 

分 类 号：R74[医药卫生—神经病学与精神病学]