接纳承诺疗法对精神分裂症康复期患者生活质量及应对方式的影响  

Effect of acceptance and commitment therapy(ACT) on quality of life and coping style in patients with schizophrenia during rehabilitation

作　　者：李莉 史俊研 李懋 贾跃辉 曹勤 王斌红 LI Li;SHI Junyan;LI Mao(Shanxi Medical University,Taiyuan 030000,China)

机构地区：[1]山西医科大学人文社会科学学院,太原030000 [2]山西省精神卫生中心

出　　处：《国际精神病学杂志》2019年第4期644-647,共4页Journal Of International Psychiatry

摘　　要：目的探讨接纳承诺疗法团体干预对精神分裂症康复期患者生活质量及应对方式的影响。方法将精神分裂症康复期患者随机分为接纳承诺疗法干预组(31例)和对照组(30例)。干预组每周进行两次接纳承诺疗法团体干预,每次80min,持续五周,共十次;对照组给予常规心理教育。干预前、后分别对两组进行阳性与阴性症状量表(PANSS)、精神分裂症患者生活质量量表(SQLS)、简易应对方式问卷(SCSQ)和认知融合问卷(CFQ)评定。结果两组SQLS(P<0.01)、SCSQ(P<0.01)和CFQ(P<0.01)前后测得分差值差异显著。结论接纳承诺疗法能够有效提高精神分裂症康复期患者的生活质量,改善患者应对方式。Objective To investigate the effect of group intervention of acceptance and commitment therapy on the quality of life and coping style in patients with schizophrenia during rehabilitation. Methods Patients with schizophrenia during rehabilitation were randomly assigned to receive intervention group(31 cases)and control group(30 cases). The intervention group received ACT group interventions twice weekly,with 80 min in individual cycle for 5 weeks(10 cycles);the control group received routine psychological intervention. Before and after the intervention,the two groups were given the positive and negative symptom scale(PANSS),the schizophrenic patients’ quality of life scale(SQLS),the simple coping style questionnaire(SCSQ)and the cognitive fusion questionnaire(CFQ)assessment. Results After the intervention,there were significant differences between the two groups in the scores of SQLS,SCSQ and CFQ. Conclusion Acceptance and commitment therapy can effectively improve the quality of life of patients with schizophrenia during rehabilitation and improve their coping style.

关 键 词：接纳承诺疗法 精神分裂症 生活质量 应对方式 

分 类 号：R395.5[哲学宗教—心理学] R749.3[医药卫生—医学心理学]