社会技能训练对精神分裂症患者临床结局的研究  

Effect of Psychosocial Skills Training on Clinical Outcome of Schizophrenic Patients

作　　者：夏雪涛 旷昌珍 喻体莲 周建初[2] 

机构地区：[1]重庆市永川区精神病医院,402160 [2]重庆市精神卫生中心

出　　处：《中国全科医学》2011年第10期1138-1139,共2页Chinese General Practice

基　　金：重庆市卫生局医学科研项目计划(07-2-229)

摘　　要：目的评定社会技能训练模式对精神分裂症患者临床结局的作用。方法 86例稳定期精神分裂症患者随机分为药物维持治疗合并社会技能训练组(训练组)和单纯药物治疗组(对照组),采用自知力与治疗态度问卷(ITAQ)、复发率、阳性与阴性症状量表(PANSS)和社会功能缺陷表(SDSS)定期纵向评定,随访期16个月。结果经16个月治疗随访,训练组ITAQ评分、治疗依从性与对照组比较,差异均有统计学意义(P<0.05)。训练组PANSS总均分、阳性与阴性症状均分与对照组比较差异有统计学意义(P<0.05)。训练组SDSS评分与对照组比较差异有统计学意义(P<0.05)。结论程式化社会技能训练对恢复患者自知力、提高维持治疗依从性、降低疾病复发,改善社会功能具有明显治疗效果。Objective To evaluate the effect of psychosocial skills training mode on clinical outcome of patients with schizophrenia.Methods Totally 86 outpatients with stable schizophrenia were randomly divided into two groups：the patients in the training group were given comprehensive intervention of medication maintenance plus psychosocial skills training,and the patients in the control group were only given medication.All patient were regularly evaluated with Insight and Treatment Attitudes Questionnaire（ITAQ）,recurrence rate,and Positive and Negative Syndrome Scale（PANSS）,Social Disability Screening Schedule（SDSS）,and a 16-month follow-up was conducted.Results After 16-month intervention,the insight and treatment attitude in the training group were statistically better that those in the control group（P0.05）.The total average PANSS score,average scores of positive and negative syndrome,and SDSS score were statistically significantly different between the two groups（P0.05）.Conclusion The structured psychosocial skills training mode is of evident effects in recovery of patients′ insight,increase of treatment compliance,decrease of relapse,and improvement of social function.

关 键 词：精神分裂症 社会技能 训练模式 临床结局 

分 类 号：R749.3[医药卫生—神经病学与精神病学]