团体认知行为治疗对社区精神分裂症患者康复疗效的评估  

Efficacy of group cognitive-behavioral treatment on rehabilitation of chronic schizophrenics in community

作　　者：吴迎春[1] 李俊英[1] 赵业华[1] 杨雅芬[1] 张铁[1] 谢春梅[1] 卢绍龙[1] 高婷婷[1] 

机构地区：[1]辽宁省精神卫生中心,辽宁开原112300

出　　处：《中国伤残医学》2013年第12期43-45,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨团体认知行为治疗对社区精神分裂症患者的康复疗效。方法:将60例社区康复的精神分裂症患者分成2组,治疗组予以团体认知行为治疗联合药物治疗,对照组仅予一般的社区随访和疾病指导,采用阳性与阴性症状综合征量表(PANSS),Morning-side康复状态量表(MRSS),社会功能缺陷筛选量表(SDSS)及自知力问卷(SAI),分别于治疗前,12周,38周末进行评定。结果:治疗后2组比较,研究组的PANSS总分,MRSS总分及SDSS总分值均下降,低于对照组,SAI总分值高于对照组(P<0.05,有统计学差异)。结论:团体认知行为治疗对社区精神分裂症患者康复有促进作用。Objective： To investigate the efficacy of group cognitive - behavioral therapy on rehabilitation of schizophrenia in communi- ty. Methods ：60 schizophrenic patients in community rehabilitation were divided into two groups, the treatment group received group cogni- tive - behavioral therapy combined with drug treatment, the control group, only to the general community and disease follow - up guid- ance, using the Positive and Negative Syndrome Scale （PANSS） , Morning - side rehabilitation status Scale （MRSS） social Disability screening Schedule （SDSS） insight questionnaire （SAI） were used to assess the two group at pre - therapy , 12 weeks after , and 38 weeks after intervention. Results：After treatment, the study group PANSS total score, MRSS and SDSS score decreased, lower than the control group , and SIA scores statistically higher in intervention group than in control group （P 〈 0.05, there are significant differences）. Conclusion： the Group cognitive behavioral therapy could enhance the level of rehabilitation in schizophrenia in community.

关 键 词：团体认知行为治疗 精神分裂症 康复 

分 类 号：R749.3[医药卫生—神经病学与精神病学]