摘要
目的:探讨认知矫正治疗对精神分裂症患者社会功能的影响。方法:将86例精神分裂症恢复期患者随机分为认知矫正治疗组(CRT组)与对照组各43例,CRT组采用神经认知矫正手册(汉化)为治疗工具,在治疗师的指导下,患者进行认知作业练习24周,包括认知灵活性、工作记忆、计划执行功能3大功能模块。对照组予以一般工娱活动,主要包括音乐治疗、个人生活技能训练和手工制作等。治疗前后,两组患者分别进行SDSS、BPRS、WCST量表评定。结果:实验共纳入80例患者,两组各40例,6例脱落。①CRT组患者SDSS量表总分治疗后较治疗前下降,差异有统计学意义(P<0.05);两组间患者治疗后SDSS量表总分比较,CRT组较对照组下降明显,差异有统计学意义(P<0.05)。②CRT组治疗前后WCST评分的比较中,正确反应数明显增加与持续错误数明显减少,差异有统计学意义(P<0.05);在对照组治疗前后WCST评分的比较中,持续错误数明显减少,差异有统计学意义(P<0.05);两组间在治疗前后WCST各项评分比较中,差异均无统计学意义。结论:认知矫正治疗能明显改善精神分裂症患者认知缺陷和社会功能。
Objective： To investigate the impact of cognitive remediation therapy on the social functions of patients with schizophrenia. Methods： 86 patients with schizophrenia in convalescence were randomly divided into cognitive remediation therapy group （ CRT group} and control group （43 cases for each group I. The Neurocognitive Correction Manual （ Chinese versionI was adopted as the treatment tool and the patients in the CRT group had cognitive exercises for 24 weeks under therapist~ guid- ance, including 3 function modules like cognitive flexibility, working memory and plan execution functions. The patients in the control group had general public entertainment activities, including music therapy, personal training and life skills such as hand - made. Before and after treatment, the patients in both groups were respectively assessed by SDSS, BPRS and WCST rating scales. Results ： 80 patients were involved in the study and 40 patients in each group, 6 patients came off. （!）The total score of SDSS was lower after treatment than before treatment in the CRT group { P 〈 0.05 }, the total score of SDSS was lower in the CRT group than the control group after treatment { P 〈 0.05 ） ; （2） there was significant difference in the comparison of WCST scores before and after treatment between the two groups and the correct responses significantly increased and the number of continued errors significantly reduced （ P 〈 0.05 } ; in the control group the number of continued errors significantly reduced in the comparison of WCST scores before and after treatment （ P 〈 0.05 ） ; the difference was not statistically significant in the comparison of each score of WCST between the two groups before and after treatment. Conclusion： Cognitive remediation therapy can improve the cognitive deficits and social functions of patients with schizophrenia.
出处
《齐鲁护理杂志》
2011年第1期18-19,共2页
Journal of Qilu Nursing
基金
苏州市科技局计划性课题(130328)
关键词
精神分裂症
认知矫正治疗
认知缺陷
社会功能
Schizophrenia
Cognitive remediation therapy
Cognitive deficits
Social function
