行为治疗对社区精神分裂症患者精神症状的影响  

Behavior Therapy for relieving the symptoms of outpatients with schizophrenia

作　　者：项玉涛[1] 李文咏 翁永振[1] 侯也之[1] 高亮[2] 陈国澜 

机构地区：[1]首都医科大学附属北京安定医院,北京市100088 [2]北京市朝阳区第三医院,北京市100025

出　　处：《中国康复理论与实践》2002年第11期682-684,共3页Chinese Journal of Rehabilitation Theory and Practice

基　　金：北京重点扶持学科基金资助项目 [(1999)卫科扶字10号];首都医学发展科研基金资助项目 (ZD199816);首都医学发展科研基金资助项目 (首都TS199801 ;特色专业 )。

摘　　要：目的探讨行为治疗对缓解社区精神分裂症患者的精神症状、自知力和治疗态度方面的作用。方法将 96例非急性期的社区精神分裂症患者随机分为行为治疗组 (以下简称治疗组 ,48例 ,其中脱落 2例 )和对照组 (4 8例 )。对行为治疗组进行行为治疗共 6个月。采用阳性症状与阴性症状量表 (PANSS)、自知力与治疗态度问卷表 (ITAQ)对患者进行评估。结果行为治疗组干预后与干预前的PANSS评分、阴性量表得分、一般精神病理量表得分、自知力与治疗态度问卷表得分比较有非常显著性差异 (P <0 0 1) ;第 6个月末时点与干预前时点评分差值的比较 ,两组患者的PANSS分、阳性量表分、自知力与治疗态度问卷表分的具有显著性差异 (P <0 0 5 ) ;阴性量表分、一般精神病理量表分具有非常显著性差异 (P <0 0 1)。结论在药物治疗的基础上 ,行为治疗能改善精神分裂症患者的症状及其自知力和治疗态度。ObjectiveTo study the effects of the Behavior Therapy on outpatient with schizophrenics in relieving symptoms, insight, and attitude to treatment. Methods96 outpatients with schizophrenia were randomly assigned to the Behavior Therapy group and the control group. The Behavior Therapy courses were given to the Behavior Therapy group for six months. All the subjects were evaluated with Positive and Negative Syndrome Scale(PANSS) and Insight and Therapeutic Attitude questionaire(ITAQ). Results94 cases completed the trial. The scores of PANSS, the Negative Subscale, the General Psychopathology Subscale of the Behavior Therapy group decreased significantly after treatment( P<0.01). The score of ITAQ of the Behavior Therapy group increased significantly after treatment( P<0.01).The reductions of PANSS, the Positive Subscale, the Negative Subscale, the General Psychopathology Subscale and ITAQ between two groups were significant different( P<0.05- P<0.01). Conclusions The Behavior Therapy may play an important role in augmenting optimal pharmacotherapy for outpatients with schizophrenia and it is effective in improving symptoms, insight and therapeutic attitude.

关 键 词：行为治疗 社区 精神分裂症 精神症状 

分 类 号：R749.3[医药卫生—神经病学与精神病学]