人际社会节奏治疗对双相情感障碍患者症状及认知的影响  

The efect of interpersonal and social rhythm therapy on symptoms and cognition in patients with bipolar disorder

作　　者：沈怡 徐浩[1] 陈铭磊 SHEN Yi;XU Hao;CHEN Minglei(Department of Psychiatry,The Third People's Hospital of Jiangyin,Jiangyin 214400,China)

机构地区：[1]江阴市第三人民医院精神科,江苏江阴214400

出　　处：《心理月刊》2024年第24期124-126,共3页

摘　　要：目的 探讨人际社会节奏治疗(IPSRT)对双相情感障碍患者躁狂症状、精神症状和认知功能的改善效果。方法 选取2022年1月~2024年1月期间江阴市第三人民医院收治的88例双相情感障碍患者随机分为两组:A组(44例)接受常规药物治疗,B组(44例)在常规治疗基础上增加IPSRT,治疗持续2个月。使用贝克-拉范森躁狂量表(BRMS)评估躁狂症状,使用阳性和阴性症状量表(PANSS)评估精神症状,使用蒙特利尔认知评估量表(MoCA)评估认知功能。正态计量资料以t检验。结果 治疗1个月、治疗2个月后,两组躁狂症状评分均降低,且B组更低(P<0.05)。治疗1个月、治疗2个月后,两组阳性症状、阴性症状、一般精神病理评分均下降,且B组低于A组(P<0.05)。治疗1个月、治疗2个月后,两组认知功能评分均提高,且B组更高(P<0.05)。结论 IPSRT通过稳定生物节律、改善人际关系和增强社会支持,帮助患者更好地管理情绪症状和提升认知功能,能有效改善躁狂症患者的临床症状、认知功能。Objective To investigate the effects of interpersonal and social rhythm therapy(IPSRT)on manic symptoms,psychiatric symptoms,and cognitive functions in patients with bipolar disorder.Methods Eighty-eight patients with bipolar disorder admitted to Jiangyin Third People's Hospital from January 2022 to January 2024 were randomly assigned to two groups:Group A(44 patients)received conventional pharmacotherapy,and Group B(44 patients)received conventional pharmacotherapy supplemented with IPSRT.The treatment duration was two months.Manic symptoms were assessed using the Beck-Rafeson mania scale(BRMS),psychiatric symptoms were evaluated with the positive and negative syndrome scale(PANSS),and cognitive function was measured by the Montreal cognitive assessment(MoCA).Normal measurement data are tested by t.Results After 1 month and 2 months of treatment,both groups showed a reduction in mania symptom scores,with Group B showing a greater reduction(P<0.05).Positive symptoms,negative symptoms,and general psychopathology scores decreased in both groups,with Group B showing a greater decrease(P<0.05).Cognitive function assessment scores improved in both groups,with Group B showing a greater improvement(P<0.05).Conclusion IPSRT can help patients better manage emotional symptoms and enhance cognitive function by stabilizing biological rhythms,improving interpersonal relationships,and increasing social support,and can effectively improve clinical symptoms and cognitive function in patients with mania.

关 键 词：双相情感障碍 人际社会节奏治疗 躁狂症状 精神症状 认知功能 

分 类 号：R749.4[医药卫生—神经病学与精神病学]