认知行为治疗对强制医疗精神疾病患者认知功能及社会功能恢复的影响研究  

Effect of Cognitive Behavioral Therapy on the Recovery of Cognitive Function and Social Function in Patients with Mental Disorders under Compulsory Medical Treatment

作　　者：刘凌峰 陈慧 周爱华 潘玲玲 纪宁 LIU Lingfeng;CHEN Hui;ZHOU Aihua;PAN Lingling;JI Ning(Seventh Ward of Yancheng Fourth People′s Hospital,Yancheng,Jiangsu Province,224003 China)

机构地区：[1]盐城市第四人民医院七病区,江苏盐城224003

出　　处：《中外医疗》2023年第18期86-89,共4页China & Foreign Medical Treatment

基　　金：盐城市科技计项目任务书(YK2020052)。

摘　　要：目的探讨认知行为治疗对于强制医疗精神疾病患者认知功能、社会功能的影响。方法便利选取2020年7—12月在盐城市第四人民医院精神科长期住院就诊48例强制医疗精神疾病患者为研究对象,采用随机抽样法进行分组,对照组24例采取抗精神病药物治疗,研究组24例采取抗精神病药物联合认知行为治疗,对比分析两组阳性与阴性症状评定量表(PANSS)评分、韦氏记忆力量表(WMS-RC)评分、个人和社会功能量表(PSP)评分。结果治疗前两组PANSS总分对比,差异无统计学意义(P>0.05)。治疗后两组PANSS评分均优于治疗前,差异有统计学意义(P<0.05);且研究组PANSS总分(47.13±12.05)分优于对照组(49.05±11.46)分,差异有统计学意义(t=2.685,P<0.05)。治疗前两组WMS-RC、PSP评分对比,差异无统计学意义(P>0.05)。治疗后两组WMS-RC、PSP评分均优于治疗前,且研究组WMS-RC、PSP评分优于对照组,差异有统计学意义(P<0.05)。结论对强制医疗精神疾病患者,采取认知行为治疗方案,可有效改善患者临床症状,调节患者认知功能以及社会功能,临床价值较高。Objective To explore the effect of cognitive behaviour therapy on cognitive function and social function of patients with mental disorders under compulsory medical treatment.Methods 48 patients with compulsory medical mental disorders who were hospitalized in the Department of Psychiatry at the Yancheng Fourth People′s Hospital from July to December 2020 were conveniently selected as the research subjects.Random sampling was used to group them.The control group consisted of 24 patients receiving antipsychotic medication,while the study group consisted of 24 patients receiving antipsychotic medication combined with cognitive behavioral therapy.The Positive and Negative Symptom Scale(PANSS)scores,Wechsler Memory Scale(WMS-RC)score,Personal and Social Performance Scale(PSP)score of the two groups were compared and analyzed.Results There was no statistically significant difference in the total score of PANSS between the two groups before treatment(P>0.05).After treatment,the PANSS scores of both groups were better than before treatment,and the difference was statistically significant(P<0.05);and the total score of PANSS in the study group(47.13±12.05)points was better than that in the control group(49.05±11.46)points,and the difference was statistically significant(t=2.685,P<0.05).There was no statistically significant difference in WMSRC and PSP scores between the two groups before treatment(P>0.05).After treatment,the WMS-RC and PSP scores of the two groups were better than before treatment,and the WMS-RC and PSP score of the study group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with mental disorders under compulsory medical treatment,cognitive behavioral therapy can effectively improve the clinical symptoms of patients,indicating that it can regulate the cognitive function and social function of patients,and has high clinical value.

关 键 词：强制医疗精神疾病 认知行为治疗 阳性与阴性症状评定量表 韦氏记忆量表 个人和社会功能量表 

分 类 号：R5[医药卫生—内科学]