CCRT联合社交技能训练改善精神分裂症患者社交技能缺陷的效果研究  

CCRT combined with social skill training in improving schizophrenic patients'social skill defects

作　　者：樊献丽 白丽娟 武振宁 王艳 闫冬梅 武克文 张玉涛 武秀 白慧芳 李志锐 Fan Xianli;Bai Lijuan;Wu Zhenning;Wang Yan;Yan Dongmei;Wu Kewen;Zhang Yutao;Wu Xiu;Bai Huifang;Li Zhirui(Shanxi Province Social Welfare Kangning Psychiatric Hospital,Jinzhong 030800,China)

机构地区：[1]山西省社会福利精神康宁医院,晋中030800

出　　处：《国际医药卫生导报》2021年第15期2315-2318,共4页International Medicine and Health Guidance News

基　　金：晋中市科技重点研发计划(社会发展)项目(Y193010)。

摘　　要：目的探讨计算机认知矫正治疗(computerized cognitive remediation therapy,CCRT)联合社交技能训练对精神分裂症患者社交技能缺陷改善的效果。方法选择2019年3月至2021年1月在山西省社会福利精神康宁医院住院且符合精神分裂症诊断标准的82例患者为研究对象,按随机数字表法将其分为干预组和对照组,各41例,实际完成了75例;其中干预组39例,男23例、女16例,年龄(37.3±5.4)岁;对照组36例,男20例、女16例,年龄(37.1±6.1)岁。入组患者均接受常规抗精神病药物治疗及社交技能训练,干预组在此基础上实施8周的CCRT。采用简易精神状态检查表(MMSE)、社交技能评定目录量表(SSC)、精神分裂症患者生活质量量表(SQLS)为评定工具,在患者干预前后分别进行康复疗效评定并比较。结果实施8周的CCRT联合社交技能训练后,干预组MMSE、SQLS评分分别为(28.64±1.88)分、(40.06±17.31)分,明显优于对照组的(24.15±2.45)分、(48.97±18.10),差异均有统计学意义(t=-8.147、2.179,均P<0.05)。干预组训练后SSC评分中SSC总分和冲突解决能力、建立关系能力评分分别为(16.03±6.87)分、(3.38±1.64)分、(3.15±1.82)分,对照组分别为(21.06±8.26)分、(5.91±2.36)分、(6.73±2.52)分,差异均有统计学意义(t=2.876、5.349、7.003,均P<0.01)。结论CCRT联合社交技能训练能够有效改善精神分裂症患者的社交技能缺陷。Objective To explore the effect of computerized cognitive remediation therapy(CCRT)combined with social skill training on the improvement of social skill defects in patients with schizophrenia.Methods Eighty-two schizophrenic patients who met the diagnostic criteria of schizophrenia and were hospitalized in Shanxi Province Social Welfare Kangning Psychiatric Hospital from March,2019 to January,2021 were selected and divided into an intervention group and a control group by the random number table method,with 41 cases in each group.At last,75 cases completed the study.There were 39 cases in intervention group who were(37.3±5.4)years old,including 23 males and 16 females;and there were 36 cases in the control group who were(37.1±6.1)years old,including 20 males and 16 females.All the 75 patients received conventional antipsychotic therapy and social skill training;in addition,the interventiongroup received CCRT for 8 weeks.The Mini Mental State Examination(MMSE),Social Skill Assessment Inventory Scale(SSC),and Quality of Life Scale for Schizophrenics(SQLS)were used to evaluate and compare the rehabilitation efficacies before and after the intervention.Results After 8 weeks'CCRT and social skill training,the scores of MMSE and SQLS were(28.64±1.88)and(40.06±17.31)in the intervention group,and were(24.15±2.45)and(48.97±18.10)in the control group,with statistical differences(t=-8.147 and 2.179,both P<0.05).After the training,the total score of SSC and the scores of conflict resolution ability and relationship building ability were(16.03±6.87),(3.38±1.64),and(3.15±1.82)in the intervention group,and were(21.06±8.26),(5.91±2.36),and(6.73±2.52)in the control group,with statistical differences(t=2.876,5.349,and 7.003,all P<0.01).Conclusion CCRT combined with social skill training can effectively improve the social skills of patients with schizophrenia.

关 键 词：CCRT 社交技能训练 精神分裂症 社交技能缺陷 认知功能缺陷 生活质量 

分 类 号：R749.3[医药卫生—神经病学与精神病学]