多家庭治疗对儿童精神分裂症患者康复的疗效研究  

Research on the Efficacy of Multiple Family Therapy on Rehabilitation of Children with Schizophrenia

作　　者：王秀珍[1] 苏荣坤[1] 李泓锦[1] 黄晓燕[1] 邵丽影[1] 倪晓梅[1] 

机构地区：[1]沈阳市精神卫生中心心理治疗科,辽宁沈阳110168

出　　处：《沈阳医学院学报》2016年第5期336-339,343,共5页Journal of Shenyang Medical College

基　　金：沈阳市科技计划项目(F14-158-9-19);沈阳市科学技术计划项目重点实验室专项(F16-097-1-00)

摘　　要：目的:探讨多家庭治疗对儿童精神分裂症患者康复的近期和远期疗效。方法:将133例儿童精神分裂症恢复期患者随机分成多家庭治疗组45例、个别家庭治疗组45例和单纯药物治疗组43例。在治疗前、治疗后及治疗结束后3个月采用阳性与阴性症状量表(PANSS)和个体和社会功能量表(PSP)对其进行评定。结果:通过计算PANSS和PSP总分,多家庭治疗组和个别家庭治疗组在治疗结束、结束治疗后3个月与治疗前比较差异有统计学意义(P<0.01);而单纯药物治疗组在3个测试时间点上的评分差异无统计学意义。多家庭治疗组和个别家庭治疗组的PANSS、PSP总分除了治疗结束与治疗结束后3个月组内相比差异无统计学意义外,其他差异均有统计学意义,其中多家庭治疗组PANSS总评分更低、PSP总评分更高。组间差异分析显示,多家庭治疗组在治疗结束及结束后3个月的PANSS、PSP总分均高于个别家庭治疗组及单纯药物治疗组,且差异有统计学意义(P<0.01)。结论:无论是近期效果还是远期效果上,多家庭治疗在改善儿童精神分裂症患者的症状和社会功能方面比个别家庭治疗、单纯药物治疗均具有明显的优势。Objective：To explore rehabilitation of children with schizophrenia whether the multiple family therapy group has a better short-term and long-term efficacy. Methods：A total of 133 convalescent children with schizophrenia were randomly divided into three groups, 45 children were in multiple family therapy group, 45 children were in individual family therapy group, 43 children were in the simple drug group who accept simple drug treatment. All subjects participate in the pre-test, post-test and follow-up test after three months with the Positive and Negative Syndrome Scale （PANSS） and Personal and Social Performance Scale （PSP） . Results：There were significantly different in multiple family therapy group and individual family therapy group by PANSS and PSP total score among pre-test,post-test and follow-up test after three months （P〈0.01）,while the difference in the simple drug group was not significant. The total score of PANSS and PSP were significant except the scores of the post-test and follow-up test after three months. The multiple family therapy group had the best effect total score of PANSS and PSP. The analysis of the difference among groups indicated that the multiple family therapy group’ s total scores of PANSS and PSP were significantly higher than that in other two groups in post-test and follow-up test （P〈0.01） . Conclusion：The multiple family therapy has a distinct advantage on improving the symptoms and social function of children with schizophrenia than individual family therapy and single drug treatment,both short-term effect and long-term effect.

关 键 词：儿童 精神分裂症 家庭治疗 疗效 

分 类 号：R749.3[医药卫生—神经病学与精神病学]