摘要
目的:探讨短程认知行为治疗对自杀未遂精神分裂症患者的心理健康状况和生命质量改善的效果。方法:将130例自杀未遂精神分裂症患者随机分为认知行为治疗组66例(实际完成63例)和对照组64例(实际完成59例),治疗12周并随访6个月。分别于治疗前、治疗12周和随访6个月末进行抑郁自评量表(SDS)、社会支持评定量表(SSRS)、WHO健康量表(WHOQOL-BREF)、生命质量量表(QOLS)的评定。结果:两组脱落率比较差异无统计学意义(P>0.05)。治疗12周和随访6个月,两组再次自杀率比较,以对照组高于治疗组(χ2=4.366,χ2=5.779;P<0.05)。治疗12周和随访6个月,QOLS总分(t=2.34,3.49)、SDS总分(t=2.12,2.65)、WHOQOL-BREF总分(t=2.06,2.46)两组间比较差异有统计学意义(P<0.05或P<0.01);SSRS总分差异无统计学意义(t=0.81,0.25;P>0.05)。结论:认知行为治疗有助于改善自杀未遂精神分裂症患者的心理健康状况和生命质量,降低再次自杀率。
Objective： To explore mental status and efficacy on improvement of quality of life for incom- plete suicide patients with schizophl^nia through brief cognitive-behavioral therapy. Method：130 incomplete suicide patients with schizophrenia were randomly assigned to the cognitive-behavioral therapy group （ n = 66, completed 63 ） or the control group （n = 64, completed 59 ） , treatment for 12 weeks and follow-up visit for 6 months, while self-rating depression scale （SDS） , social support rating scale（SSRS） , WHO quality of life scale （WHOQOL-BREF） and quality of life scale（QOLS） were used before treatment, at the ends of the 12th week of treatment and at the end of the 6th month follow-up visit. Results ： Two groups showed no significant difference on expulsion rate（ P 〉0.05 ）. And significant difference were found on the rate of suicide act again the control group was higher than that in the treatment group to suicide act again （ X2 = 4. 366, X2 = 5. 779 ; P 〈 0.05 ）. At the end of 12th week and the 6th month follow-up visit showed no significant difference, so did the total score of SSRS（t =0.81,0.25;P 〉0.05） ;while the total score of QOLS（t =2.34,3.49） ,SDS（t = 2.12,2.65） and WHOQOL-BREF（ t = 2.06,2.46 ） were found statistically significant（ P 〈 0.05 or P 〈 0.01 ） in comparison, Conclusion：Cognitive-behavioral therapy is helpful to improve the mental status and quality of life for incom- plete suicide patients with schizophrenia,and it also can reduce the rate of suicide act again.
出处
《临床精神医学杂志》
2013年第6期372-375,共4页
Journal of Clinical Psychiatry
基金
广西卫生厅自筹资金科研项目(Z2008017)
关键词
精神分裂症
自杀行为
认知行为治疗
schizophrenia
incomplete suicide
cognitive-behavior ahherapy
