摘要
目的探讨焦点解决短期取向团体治疗对康复期精神分裂症患者自我效能感的影响。方法选取2014年5月—2015年5月在江西省赣州市第三人民医院住院的康复期精神分裂症患者100例,采用随机数字表法分为研究组和对照组,各50例。研究组给予焦点解决短期取向团体治疗;对照组给予常规的团体心理辅导。采用一般自我效能感量表(GSES)评估自我效能感水平,采用简明精神病量表(BPRS)评估精神症状。结果两组自我效能感得分间差异有统计学意义(P<0.05),不同时间点自我效能感得分间差异亦有统计学意义(P<0.05),但治疗方法与时间在自我效能感得分上并不存在交互作用(P>0.05)。焦虑忧郁、缺乏活力、思维障碍、敌对猜疑因子得分及总分与自我效能感得分均呈直线负相关(P<0.05),而激活性因子得分与自我效能感得分呈直线正相关(P<0.05)。多元线性逐步回归分析结果显示,焦虑忧郁因子得分及总分是自我效能感得分的影响因素(P<0.05)。结论焦点解决短期取向团体治疗能够明显提高康复期精神分裂症患者的自我效能感水平,且自我效能感水平与焦虑、忧郁等因素有关。
Objective To explore the impact of solution- focused brief group therapy on self- efficacy of patients with schizophrenia in rehabilitation stage. Methods 100 patients with schizophrenia who were hospitalized in Third People＇ s Hospital of Ganzhou in Jiangxi Province from May 2014 to May 2015 were selected and divided into research group and control group by random number table method, each group had 50 cases. The research group was treated with solution- focused brief group therapy; and the control group received routine group psychology counseling. Self- efficacy level was assessed by general self-efficacy scale（ GSES）,and psychiatric symptoms were assessed by using brief psychiatric rating scale（ BPRS）. Results There was significant difference in scores of self- efficacy between two groups（ P〈 0. 05）,there were also significant differences in scores of self- efficacy at different time points（ P〈 0. 05）,but treatment method and time had no significant interactions on self- efficacy scores（ P〈 0. 05）. The scores of anxiety- depression,lack of vitality,thinking disorder,and hostile suspicion factor were negatively linear correlated with scores of self- efficacy（ P〈 0. 05）,while the scores of active factor were positively linear correlated with self- efficacy scores（ P〉 0. 05）. The results of multiple linear stepwise regression analysis showed that the score of anxiety- depression factor and the total score were the influencing factors of self- efficacy scores（ P〈 0. 05）.Conclusion The solution- focused brief group therapy can obviously improve the self- efficacy level of patients with schizophrenia in rehabilitation stage,and the level of self- efficacy is related to factors as anxiety and depression.
出处
《中国全科医学》
CAS
CSCD
北大核心
2016年第31期3874-3877,共4页
Chinese General Practice
基金
赣州市指导科技课题(GZ2014ZSF358)
