阅读疗法对精神分裂症患者低自尊及主观幸福感的影响  

The Impact of Bibliotherapy on Low Self-esteem and Subjective Well-being of Patients with Schizophrenia

作　　者：陈飞 王庆玲 赵后锋 马世民 王士勋 时德菊 

机构地区：[1]中国江苏省徐州市东方人民医院,221004

出　　处：《中国健康心理学杂志》2013年第4期491-493,共3页China Journal of Health Psychology

基　　金：徐州市科技局项目社会发展基金(XM07C042)

摘　　要：目的探讨阅读疗法对缓解期精神分裂症患者自尊水平及主观幸福感的影响。方法对120例缓解期精神分裂症患者随机分为研究组和对照组,在两组均使用适量的抗精神病药物治疗的基础上,仅对研究组给予阅读治疗。在干预前、后采用自尊量表(SES)、缺陷感量表(FIS)、总体幸福感量表(GWB)、焦虑自评量表(SAS)和抑郁自评量表(SDS)对两组患者进行评定。结果干预前两组患者的SES、FIS、GWB、SAS及SDS评分差异均无显著性;干预后研究组SES、FIS、GWB评分明显增高,而SAS及SDS评分明显降低,与对照组相比差异具有显著性(t=8.68,8.81,2.81,3.98,4.34;P<0.01)。结论阅读疗法有助于消除精神分裂症患者的自卑心理,增强自信心,提高自尊水平及幸福度,缓解其焦虑、抑郁情绪,是促进精神分裂症患者康复的有效途径。Objective To explore the effect of bibliotherapy on low self-esteem and subjective well-being of patients with schizophrenia. Methods A total of 120 patients with schizophrenia were randomly divided into two groups,the study group with group bibliotherapy and the control group without,which both were treated with former neuroleptics. All patients of two groups were evaluated with the Self-esteem Scale （SES）,Feelings of Inadequacy Scale （FIS）,General Well-being Schedule （GWB）, Self-rat- ing Anxiety Scale （SAS）and Self-rating Depression Scale （SDS） before and after intervention. Results Scores of SES, FIS, GWB, SAS and SDS of patients in both groups were no different before therapy （t= 0. 31,0.14,0. 43,0.16,0. 20 ;P〉0. 05）,Scores of SES,FIS and GWB in study group were higher and scores of SAS and SDS were lower after therapy than before. Compared with control group with significant differences （t=-8. 68,8. 81,2. 81,3. 98,4. 34 ;P〈0.01）. Conclusion Bibliotherapy can help patients with schizophrenia to eliminate the inferiority, reinforce the confidence,improve the self-esteem levels, subjective well-being,anxiety and depression. It may be an effective way to promote schizophrenic patients＇ rehabilitation.

关 键 词：阅读疗法 精神分裂症 低自尊行为 主观幸福感 

分 类 号：R749.3[医药卫生—神经病学与精神病学]