“七支坐法”冥想对慢性精神分裂症伴焦虑患者的疗效  

Study on the effect of"seven-branch meditation"on anxiety symptoms in male patients with chronic schizophrenia

作　　者：高红锐 赵蕾[2] 刘焱[1] 杨湘红 戴晶璟 徐慧如[1] 彭红[1] 李则挚[3] GAO Hongrui;ZHAO Lei;LIU Yan(First Psychiatric Hospital,Shanghai Civil Affairs Bureau,Shanghai 201105 China)

机构地区：[1]上海市民政第一精神卫生中心,201105 [2]青岛市精神卫生中心(青岛大学) [3]上海交通大学附属仁济医院神经内科

出　　处：《中国健康心理学杂志》2021年第11期1601-1607,共7页China Journal of Health Psychology

基　　金：上海交通大学医工交叉项目(编号:YG2016MS48);上海交通大学医学院优青推进项目(编号:19XJ11006)。

摘　　要：目的:探讨"七支坐法"冥想训练对慢性分裂症伴有焦虑症状患者的疗效。方法:将54例伴有焦虑症状的精神分裂症患者分为冥想联合药物干预组和药物治疗对照组,采用阳性与阴性症状量表(Positive And Negative Syndrome Scale,PANSS)、汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)量表分别于基线、12周、24周对两组患者进行量表测评,比较其疗效差异。结果:冥想组在随访第24周PANSS总分、阳性评分、阴性评分及一般病理分改善情况优于对照组(F=142.20,23.73,32.31,99.84;P<0.001)。冥想组在随访第12周PANSS总分、阴性评分及一般病理分改善情况优于对照组(F=45.63,14.86,21.18;P<0.001)。冥想组HAMA总分、精神焦虑和躯体焦虑在第24周及第12周改善均优于对照组(24周:F=221.49,109.50,107.18;P<0.001;12周:F=44.25,15.01,17.46;P<0.001)。结论:"七支坐法"冥想训练显著改善精神分裂症伴有焦虑症状患者的精神症状和焦虑症状。Objective:To explore the effect of"seven branches sitting"meditation training on male patients with chronic schizophrenia and anxiety symptoms.Methods:A total of 54 schizophrenia patients with anxiety symptoms were divided into two groups,including meditation combined with drug intervention group and drug treatment control group.The Positive And Negative Syndrome Scale(PANSS)and Hamilton Anxiety Scale(HAMA)were used for assessment at baseline,12 W and 24 W,respectively.Results:The PANSS total score,positive score,negative score and general pathological score in the meditation group improved significantly than the control group at the 24 th week of follow-up(F=142.20,23.73,32.31,99.84;P<0.001).The PANSS total score,negative score and general pathological score in the meditation group improved significantly than the control group at the 12 th week of follow-up(F=45.63,14.86,21.18;P<0.001).Compared with the control group,the total score of HAMA,somatic anxiety and psychic anxiety in the meditation group improved significantly at the 24 th(F=221.49,109.50,107.18;P<0.001)and 12 th week(F=44.25,15.01,17.46;P<0.001).Conclusion:"Seven branches"sitting meditation training significantly improves the mental symptoms and anxiety symptoms of male schizophrenia patients with anxiety symptoms.

关 键 词：“七支坐法”冥想 焦虑 精神分裂症 阳性与阴性症状量表 

分 类 号：R749.3[医药卫生—神经病学与精神病学]