正念心理干预对康复期精神分裂症军人情绪体验和注意控制的影响  

Effect of psychological intervention of mindfulness on emotional experience and attentional control in soldiers with schizophrenia during rehabilitation

作　　者：徐松 谢俊鹏[1] 彭李 付春安[2] 李敏[3] 熊加祥[1] XU Song;XIE Junpeng;PENG Li;FU Chun＇ an;LI Min;XIONG Jiaxiang(Department of Physiology,College of Basic Medical Sciences;Department of Military Psychology,School of Psychology,Army Medical University（Third Military Medical University）,Chongqing,40003;Department of Psychiatry,No.477 Hospital of PLA,Xiangyang,Hubei Province,441003,China)

机构地区：[1]陆军军医大学(第三军医大学)基础医学院生理学教研室,重庆400038 [2]解放军第477医院精神科,湖北襄阳441003 [3]陆军军医大学(第三军医大学)心理学院军事心理学教研室,重庆400038

出　　处：《第三军医大学学报》2018年第17期1527-1532,共6页Journal of Third Military Medical University

基　　金：全军医学科研计划重大项目(AWS13J002,AWS16J025); 军事医学预研项目(2016XYY16)

摘　　要：目的探讨基于正念的心理干预(mindfulness-based interventions,MBI)对于康复期精神分裂症军人临床症状、情绪体验及注意控制的影响。方法将某部队医院精神科50名康复期军人精神分裂症住院患者分为正念干预组和常规治疗组。常规治疗组接受常规康复治疗,正念干预组在常规治疗基础上进行为期1个月的MBI(结合精神分裂症特点和正念认知疗法的心理干预),90 min/次,共12次。采用正念五因素量表(Five Facet Mindfulness Questionnaire,FFMQ)、正负性情绪量表(Positive and Negative Affect Scale,PANAS)、注意控制量表(Attentional Control Scale,ACS)以及阳性阴性症状量表(Positive and Negative Syndrome Scale,PANSS),分别在干预前后对2组进行测评,将测评结果进行对比分析。结果常规治疗组患者的PANSS、FFMQ、PANAS、ACS干预前后得分差异均无统计学意义(P>0.05),正念干预组患者进行干预后一般精神病理、负性情绪得分显著降低(P<0.01),而FFMQ、ACS得分显著升高(P<0.01)。结论 MBI能够减轻康复期精神分裂症军人的病情严重程度,降低其负性情绪,提高其注意控制能力。Objective To investigates the effect of mindfulness-based intervention（ MBI） on clinical symptoms,emotional experience and attentional control in military schizophrenics during rehabilitation period.Methods Fifty armymen with convalescent schizophrenia during rehabilitation period in a military hospital were paired into MBI group and conventional treatment group. The patients of the latter group received conventional treatment,while those of the MBI group were added with MBI（ with combination of the characteristics of schizophrenia and classic mindfulness cognitive therapy）,90 min per time,totally 12 times,for 1 month. Five Facet Mindfulness Questionnaire（ FFMQ）,Positive and Negative Affect Scales（ PANAS）,Attentional Control Scale（ ACS） and Positive and Negative Syndrome Scale（ PANSS） were used to evaluate the patients before and after the intervention,and the results were compared between the 2 groups. Results There were no differences in the scores of PANSS,FFMQ,PANAS and ACS in the conventional treatment group before and after treatment（ P 〉0. 05）. The scores of general psychopathology and negative affect were significantly decreased（ P〈 0. 01）,while those of FFMQ and ACS were obviously increased（ P 〈0. 01） in the MBI group after the treatment. Conclusion MBI attenuates the severity of schizophrenia in the military patients during rehabilitation period,reduces their negative affect and enhances their attentional control.

关 键 词：正念 精神分裂症 正负性情绪 注意控制 

分 类 号：R749.055[医药卫生—神经病学与精神病学] R749.3[医药卫生—临床医学]