生活契合社交技能训练联合CBT治疗精神分裂症  

Study on the Treatment of Schizophrenia with Fit for Life Social Skills Training Combined with CBT

作　　者：孔静 贾金华 王秀珍 KONG Jing;JIA Jinhua;WANG Xiuzhen(Department of Psychiatry,Hebi People's Hospital,Hebi 458000 China)

机构地区：[1]鹤壁市人民医院精神科,河南鹤壁458000

出　　处：《锦州医科大学学报》2024年第5期61-64,共4页Journal of Jinzhou Medical University

基　　金：河南省科技攻关项目,项目编号:232102310143。

摘　　要：目的探讨生活契合社交技能训练联合认知行为疗法(cognitive behavioral therapies,CBT)治疗精神分裂症的效果。方法在鹤壁市人民医院精神科选取86例精神分裂症患者,将他们随机分为对照组和观察组,每组各43例。对照组接受常规的诊疗模式治疗,而观察组除接受与对照组相同的治疗外,还额外接受生活契合社交技能训练与认知行为疗法(cognitive behavioral therapies,CBT)的联合治疗。研究对比两组患者在治疗前和接受6个月治疗后的社会功能、精神症状、康复效果和生存质量的变化。其中,社会功能采用住院精神患者社会功能评定量表(scale of social function in psychosis inpatients,SSPI)、精神症状采用阳性与阴性症状量表(positive and negative syndrome scale,PANSS)、康复效果采用住院精神病人康复效果评定量表(inpatient psychiatric rehabilitation efficacy rating scale,IPROS)、生存质量采用世界卫生组织生存质量测定量表简表(the world health organization quality of life questionnaire for HIV brief version,WHOQOL-BPRS)。结果治疗6个月后,2组SSPI量表中关于日常生活能力、动性和交往情况及社会性活动技能共3个维度分值均较治疗前有明显提升(P<0.05),2组PANNS量表中关于阳性症状、阴性症状、一般病理症状及总分均较治疗前有明显降低(P<0.05),2组IPROS评分较治疗前有明显降低(P<0.05),2组WHOQOL-BPRS总分较治疗前有明显提高(P<0.05),其中观察组以上量表评分改善效果均明显优于对照组(P<0.05)。结论生活契合社交技能训练联合CBT治疗精神分裂症患者的效果明确,能明显改善患者的社会功能、精神症状,提升其康复效果和生存质量。Objective To explore the effect of fit for life social skills training combined with cognitive behavioral therapy(CBT)on schizophrenia.Methods A total of 86 patients with schizophrenia were randomly divided into control group and observation group,with 43 cases in each group.The control group was treated with conventional diagnosis and treatment mode,and the observation group was treated with fit for life social skills training combined with CBT on the basis of the control group.The study compared the changes in social function,psychiatric symptoms,rehabilitation effect and quality of life between the two groups of patients before treatment and after 6 months of treatment.The social function was assessed using the scale of social function in psychosis in patients(SSPI),the psychiatric symptoms were assessed using the positive and negative syndrome scale(PANSS),the rehabilitation efficacy was assessed using the inpatient psychiatric rehabilitation efficacy rating scale(IPROS),and the quality of life was assessed using the World Health Organization Quality of Life Questionnaire for HIV Brief Version(WHOQOL-BPRS).Results After 6 months of treatment,the scores of three dimensions in the SSPI scale of the two groups including daily living ability,mobility,communication,and social activity skills were significantly improved compared to those before treatment(P<0.05).The positive symptoms,negative symptoms,general pathological symptoms and total scores of PANNS scale of the two groups were significantly decreased compared with those before treatment(P<0.05).The IPROS scores in the two groups were significantly lower than those before treatment(P<0.05),and the total scores of WHOQOL-BPRS in the two groups were significantly higher than those before treatment(P<0.05).The improvement effect of the above scales in the observation group was significantly better than that in the control group(P<0.05).Conclusion Fit for life social skills training combined with CBT has a clear effect on the treatment of schizophrenia patients,

关 键 词：生活契合社交技能 认知行为疗法 精神分裂症 

分 类 号：R749.3[医药卫生—神经病学与精神病学]