心理干预对康复期精神分裂症患者社会功能的影响  

The influence of psychological intervention on social function of convalescence schizophrenic

作　　者：陈龙涛[1] 许律琴 谭常赞[2] 朱建忠[1] 范鲁 娄元菊[1] 宋西俊[1] 黄秋明 

机构地区：[1]江门市第三人民医院,广东江门529000 [2]肇庆市第三人民医院,广东肇庆526000 [3]江门市人民医院,广东江门529000

出　　处：《临床心身疾病杂志》2015年第4期111-113,共3页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨心理干预对康复期精神分裂症患者社会功能的影响。方法将76例康复期精神分裂症患者随机分为两组，每组38例。两组均予以常规抗精神病药物治疗及护理，研究组在此基础上联合心理干预。观察3个月，随访1a。于治疗后采用阳性与阴性症状量表、大体评定量表评定干预效果。结果治疗3个月及随访1a，研究组阳性与阴性症状量表评分呈下降趋势，对照组呈升高趋势，研究组显著低于对照组（P〈0．01）；研究组大体评定量表评分较治疗前显著升高（P〈0．01），对照组则无显著变化（P〉0．05），研究组显著高于对照组（P〈0．01）。结论心理干预能显著改善康复期精神分裂症患者的社会功能，有利于疾病预后。Objective To explore the influence of psychological intervention on social function of convalescence schizophrenic. Methods Seventy-six convalescence schizophrenics were randomly divided into two groups of 38 ones each. Both groups received routine antipsychotic treatment and nursing, on this basis research group was plus psychological intervention. They were observed for 3 months and followed up for 1 year. Intervention results were assessed with the Positive and Negative Syndrome Scale （PANSS） and Global Assessment Scale （GAS） before and after treatment. Results During 3 month treatment and 1 year follow-up the PANSS score presented a downward trend in research and upward in control group, that was significantly lower in research than in control group （P〈0.01） ; the GAS score heightened more significantly after treatment compared with pretreatment （P〈0.01）, that had no significant change in control group （P〈0.05）, and that was significantly higher in research than in control group （P〈0.01）. Conclusion Psychological intervention could notably improve social function of convalescence schizophrenic and is beneficial to disease prognosis.

关 键 词：精神分裂症 康复期 心理干预 社会功能 阳性与阴性症状量表 大体评定量表 

分 类 号：R749.3[医药卫生—神经病学与精神病学]