改良森田疗法对老年男性精神分裂症患者精神症状及社会功能的影响  

Effect of modified Morita therapy on psychiatric symptoms and social functions of elderly male patients with schizophrenia

作　　者：顾燕[1] 陆如平 严珍 杨湘红 戴晶璟 张晨[2] GU Yan;LU Ru-ping;YAN Zhen(Shanghai No.1 Civil Mental Health Center,Shanghai 201105,China;不详)

机构地区：[1]上海市民政第一精神卫生中心,上海201105 [2]上海交通大学医学院附属精神卫生中心精神科,上海200030

出　　处：《医师在线》2024年第10期36-39,共4页Journal of Doctors Online

基　　金：上海市闵行区2022年自然科学研究课题项目(2022MHZ066)。

摘　　要：目的分析改良森田疗法对老年男性精神分裂症(SCH)患者精神症状与社会功能的影响。方法选取2021年1月~2021年7月在上海市民政第一精神卫生中心接受长期住院治疗的老年男性SCH患者72例,采用随机数字表法将患者分为对照组和研究组,每组36例。对照组采用常规药物治疗,研究组采用常规药物治疗+改良森田疗法,均治疗6个月。于入组前及治疗后通过阳性和阴性症状量表(PANSS)评估所有患者的精神症状,并通过个人和社会功能量表(PSP)、日常生活活动能力评定量表(ADL)评估其社会功能。结果治疗6个月后,研究组一般精神病理症状评分、阴性症状评分、PANSS总分均较入组前低,且低于对照组,差异均有统计学意义(P<0.05)。治疗6个月后,研究组ADL评分显著低于对照组(P<0.01)。与入组前比较,研究组治疗6个月后PSP评分显著上升,且高于对照组,差异具有统计学意义(P<0.01)。结论对老年男性SCH患者在常规药物治疗基础上联合改良森田疗法,能有效改善患者的社会功能和精神症状,并能促进其日常生活自理能力的提升。Objective To analyze the effects of modified Morita therapy on psychiatric symptoms and social function in elderly male patients with schizophrenia(SCH).Methods A total of 72 elderly male patients with SCH who received long-term hospitalization in Shanghai No.1 Civil Mental Health Center from January 2021 to July 2021 were selected and divided into control group and study group by random number table method,with 36 cases in each group.The control group was treated with conventional drugs,and the study group was treated with conventional drugs combined with modified Morita therapy.Both groups were treated for 6 months.The psychiatric symptoms of all patients were assessed by the Positive and Negative Syndrome Scale(PANSS)before enrollment and after treatment,,and their social functions were assessed by the Personal and Social Performance Scale(PSP)and the Activity of Daily Living Scale(ADL).Results After 6 months of treatment,the general psychopathological symptom score,negative symptom score,and PANSS total score in the study group were lower than those before enrollment,and lower than those of the control group,the difference was statistically significant(P<0.05).After 6 months of treatment,the ADL score of the study group was significantly lower than that of the control group(P<0.01).Compared with before enrollment,the PSP score in the study group increased significantly after 6 months of treatment,and was higher than that of the control group,and the difference were statistically significant(P<0.01).Conclusion Modified Morita therapy combined with conventional drug therapy on the basis of conventional drug therapy can effectively improve the social function and psychiatric symptoms of elderly male patients with SCH,and promote the improvement of self-care ability in daily life.

关 键 词：改良森田疗法 老年SCH 社会功能 

分 类 号：R749.3[医药卫生—神经病学与精神病学]