行为疗法对恢复期精神分裂症患者认知功能和精神症状的影响  

Effects of behavior therapy on cognitive function and psychiatric symptoms in patients with schizophrenia at recovery stage

作　　者：黄志勇 王素兰 杨红利 

机构地区：[1]苏州市民康医院,江苏苏州215000

出　　处：《中国民康医学》2017年第12期4-6,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察行为疗法对恢复期精神分裂症患者认知功能和精神症状的影响。方法:选取恢复期精神分裂症患者60例为研究对象,随机分为对照组与研究组,每组30例,两组均予以非典型抗精神病药物治疗,研究组增加行为疗法治疗。并对两组治疗前和治疗6个月后患者进行阳性和阴性综合征量表(PANSS)及改良威斯康星卡片分类测验(M-WCST)评估。结果:治疗后两组患者的M-WCST正确数、正确分类数评分较治疗前升高,错误数、持续错误数、非持续错误数评分较治疗前下降;且研究组治疗后的正确数、正确分类数评分高于对照组,错误数、持续错误数、非持续错误数评分低于对照组;差异均有统计学意义(P<0.05)。PANSS量表评估两组治疗后阴性症状、阳性症状及一般病理症状评分较治疗前下降,研究组治疗后以上指标评分低于对照组,差异均有统计学意义(P<0.05)。结论:恢复期精神分裂症患者在药物治疗基础上采取行为疗法有助于改善患者认知功能及精神症状。Objective To investigate effects of behavior therapy on cognitive function and psychiatric symptoms in patients with schizophrenia at recovery stage. Methods ： 60 patients with schizophrenia at recover^^ stage were selected as the study objects and ran-domly divided into control group and study group, 30 cases in each group. All the patients were treated with the atypical antipsychotic drugs. Besides, the study group was given thebehavior therapy. The two groups were evaluated with positive and negative syndrome scale（PANSS） and Wisconsin card sorting test （M-WCST） before and 6 months after the treatment. Results： The M-WCST correct number and correct classification scores after the treatment of the two groups were higher than those before the treatment, and the num-ber of errors, continuous and non continuous measures scores decreased （P〈0.05）. After the treatment, the correct number and cor-rect classification scores of the study group were higher than those of the control group, while the number of errors, continuous and non continuous measures scoreswere lower than those of the control group, and the differences were statistically significant （P〈0. 05）. Af-ter the treatment, the scores of the negative symptoms, positive symptoms, andgeneral pathological symptoms of the two groups all de- creased; those of the study group were lower than those of the control group, and the differences were statistically significant （ P 〈0. 05）. Conclusions ： The behavior therapy based on the drug therapy can improve the cognitive function and psychiatric symptoms in the patients with schizophrenia at recovery stage.

关 键 词：行为疗法 精神分裂症 认知功能 精神症状 

分 类 号：R749.3[医药卫生—神经病学与精神病学]