艺术心理治疗对慢性精神分裂症住院患者疗效分析  

Curative effect analysis of art psychotherapy for chronic schizophrenia inpatients

作　　者：牛卫青 曹艺苧 程肖锋 张敏 朱国依 叶尘宇 NIU Weiqing;CAO Yining;CHENG Xiaofeng(Minhang District Of Shanghai Mental Health Center,Shanghai 201112,China)

机构地区：[1]复旦大学附属精神卫生中心(筹)上海市闵行区精神卫生中心,上海201112 [2]复旦大学附属中山医院心理科

出　　处：《国际精神病学杂志》2018年第5期910-913,共4页Journal Of International Psychiatry

基　　金：上海市闵行区自然科学研究课题项目(编号:2015MHZ019)

摘　　要：目的探讨艺术心理治疗对慢性精神分裂症住院患者疗效分析。方法将120例慢性精神分裂症住院患者随机分为研究组和对照组各60例,研究组在原有治疗基础上予以艺术心理治疗,两组在基线、治疗6周、12周末采用阳性和阴性症状量表(PANSS)和精神分裂症生活质量量表第四版(SQLS-R4)评定疗效。结果 (1)研究组PANSS总分在治疗6周末(t=15.426,P<0.01)、12周末(t=4.812,P<0.01)评分统计有显著差异,两组之间各分量表评分在各个随访点的差异均有统计学意义;(2)两组的SQLS-R4评分在治疗6周末(t=8.161,P<0.01)、12周末(t=15.107,P<0.01)差异均有统计学意义。(3)自身前后重复测量方差分析结果显示,PANSS各量表分别为阴性症状量表(F=22.109,P<0.01)、阳性症状量表(F=70.352,P<0.01),一般精神病理量表(F=117.000,P<0.01),总分(F=117.000,P<0.01);SQLS-R4(F=117.000,P<0.01)。结论艺术心理治疗能够改善慢性精神分裂症住院患者的精神症状,促进康复,提高住院生活质量。Objective Discuss the efficacy of artistic pyschotherapy for chronic schizophrenic patients. Methods 114 chronic schizophrenic inpatients were randomly divided into a research group and a control group with 57 in each group. Artistic psychotherapy was applied to the research group. At the baseline,after 6 weeks and 12 weeks,Positive and Negative Syndrome Scale（PANSS）and Schizophrenia Quality of Life Scale Revision 4（SQLR-R4）are used to evaluate the efficacy of the therapy. Results 1. There was statistical difference after 6 weeks（t=15.426 P〈0.01）and 12 weeks（t=4.812,P〈0.01）for PANSS scale. There were statistical differences between two groups in the score of sub-scales of 6-week-followup and 12-week-followup.2. There were statistical differences for SQLS-R4 scale after 6 weeks（t=8.161,P〈0.01）and 12 weeks（t=15.107,P〈0.01）of therapy.3. After repeated ANOVA,the sores of negative scale（F=22.109,P〈0.01）,positive scale（F=70.352,P〈0.01）,psychiatric scale（F=117.000,P〈0.01）and total score（F=117.000,P〈0.01）;SQLS-R4（F=117.000,P〈0.01）became lower after intervention. Conclusion Artistic psychotherapy can improve the mental symptoms of chronic schizophrenic inpatients,help recovery and improve the quality of life in hospital.

关 键 词：艺术心理治疗 精神分裂症 精神症状 生活质量 

分 类 号：R749.3[医药卫生—神经病学与精神病学]