心理干预对首发精神分裂症患者生活质量和社会功能的对照研究  

Effect of Psychological Intervention on First Episode Schizophrenia in Quality of Life and Social Function

作　　者：郎春英 唐莉莉[1] 付萍萍[1] 林劲松[1] 刘晓梅[1] 彭雪娜[1] 

机构地区：[1]惠州市第二人民医院,广东惠州市516001

出　　处：《中国康复理论与实践》2009年第12期1159-1161,共3页Chinese Journal of Rehabilitation Theory and Practice

基　　金：广东省惠州市科技局立项课题(2009Y039)

摘　　要：目的探讨心理干预对首发精神分裂症患者生活质量和社会功能的影响。方法将120例本院住院首发精神分裂症患者随机分为观察组和对照组各60例,两组均予以利培酮系统治疗。观察组在此基础上给予8周的心理干预。随后对两组患者进行为期6个月的随访。采用阴性与阳性症状量表(PANSS)、世界卫生组织生活质量量表(WHO,QOL-100)、社会功能缺陷筛选量表(SDSS)分别于入组时及随访结束时进行评估。结果入组时,PANSS、QOL-100、SDSS评分两组间比较均无显著性差异(P>0.05);随访结束时,观察组PANSS总分及阴、阳性症状评分均明显低于对照组(P<0.01);而生活质量总评分,心理领域、独立性领域、社会关系领域评分及SDSS评分均高于对照组(P<0.05或P<0.01)。结论心理干预有助于缓解首发精神分裂症患者的精神症状,提高其生活质量及社会功能。Objective To explore the effect of psychological intervention on first episode schizophrenia in quality of life and social function.Methods 120 inpatients with first episode schizophrenia were randomly divided into the observed group （60 cases） in which patients were treated with risperidone plus psychological intervention and the control group （60 cases） in which patients were treated with risperidone only.All patients had been treated for 8 weeks and followed up for 6 months after discharge.The assessments included the Positive and Negative Symptoms Scale（PANSS）,WHO,QOL-100 and Social Disability Screening Schedule（SDSS） before the treatment and at the end of the follow-up.Results The scores of PANSS,SDSS and QOL-100 in both groups did not show significant difference before the treatment（P〉0.05）.At the end of follow-up,the total score,negative score and positive score of PANSS in the observed group were lower than that in the control group（P〈0.01）,while the total score of QOL-100,areas of mentality,dependence,social relation factor scores and the scores of SDSS in the observed group were higher than that in the control group（P〈0.05 or P〈0.01）.Conclusion Psychological intervention can help to improve the symptom of first episode schizophrenia and enhance their quality of life and social function.

关 键 词：心理干预 精神分裂症 生活质量 社会功能 

分 类 号：R749.3[医药卫生—神经病学与精神病学]