摘要
目的探讨内观认知疗法对康复期精神分裂症患者生活质量及社会功能的影响。方法选取2018年12月至2019年12月上海市宝山区精神卫生中心收治的74例处于精神分裂症康复期的患者,按照随机数表法均分为观察组和对照组,每组37例。对照组给予常规药物治疗,观察组在对照组治疗基础上给予内观认知疗法干预,治疗6周为一个疗程。治疗前和一个疗程结束后采用精神分裂症患者生活质量量表(SQLS)、家庭亲密度与适应性量表(FACESⅡ-CV)、信赖他人量表(Rosenberg)、容纳他人量表(AOS)和自知力与治疗态度问卷(ITAQ)评价两组患者的生活质量及社会功能。结果两组患者治疗前的心理社会、精力/动机、症状/副反应和总分比较差异均无统计学意义(P>0.05);治疗后,观察组和对照组患者的心理社会[(26.98±3.87)分vs(29.08±3.91)分]、精力/动机[(16.56±2.04)分vs(17.68±1.98)分]、症状/副反应[(16.36±1.92)分vs(18.21±2.35)分]、总分[(59.90±6.78)分vs(64.97±7.21)分]比较,观察组明显低于对照组,差异均具有统计学意义(P<0.05);两组患者治疗前的实际亲密度、理想亲密度、亲密不满意程度、实际适应性、理想适应性、适应性不满意程度比较,差异均无统计学意义(P>0.05);治疗后,观察组和对照组患者的实际亲密度[(57.68±3.18)分vs(54.34±2.41)分]、理想亲密度[(68.39±1.97)分vs(66.38±1.76)分]、亲密不满意程度[(10.71±3.40)分vs(12.04±2.80)分]、实际适应性[(43.99±3.89)分vs(38.09±3.28)分],理想适应性[(55.13±3.28)分vs(52.10±5.01)分]、适应性不满意程度[(11.14±4.26)分vs(13.01±3.05)分]比较,观察组亲密不满意程度和适应不满意程度评分均明显低于对照组,实际亲密度和理想亲密度、实际适应性和理想适应性评分均明显高于对照组,差异均具有统计学意义(P<0.05);两组患者治疗前的信赖他人、容纳他人和被他人容纳比较差异均无统计学意义(P
Objective To explore the influence of Vipassana cognitive therapy on the quality of life and social function of patients with schizophrenia during rehabilitation.Methods A total of 74 patients in the rehabilitation period of schizophrenia admitted to the Baoshan Mental Health Center of Shanghai City from December 2018 to December 2019 were randomly divided into an observation group and a control group according to random number table,with 37 patients in each group.The control group was treated with conventional drugs,and the observation group was given intervention of Vipassana cognitive therapy on the basis of the treatment of the control group.The treatment period was 6 weeks.Before treatment and after a course of treatment,the quality of life and social function of the two groups were compared with schizophrenia quality of life scale(SQLS),family adaptability and cohesion evaluation scale 2nd edition Chinese version(FACESⅡ-CV scale),faith in people scale(Rosenberg),acceptance of others(AOS)scale,and insight treatment attitude questionnaire(ITAQ)scale.Results There was no statistically significant difference in psychosocial scores,energy/motivation,symptom/side effects,and total score before treatment between the two groups(P>0.05);after treatment,the observation group were significantly higher than the control group in psychosocial scores,energy/motivation,symptoms/side effects,and total scores(P<0.05):(26.98±3.87)points vs(29.08±3.91)points;(16.56±2.04)points vs(17.68±1.98)points;(16.36±1.92)points vs(18.21±2.35)points;(59.90±6.78)points vs(64.97±7.21)points.Before treatment,the actual intimacy,ideal intimacy,intimacy dissatisfaction,actual adaptability,ideal adaptability,and adaptability dissatisfaction showed no statistically significant difference(P>0.05);after treatment,the actual intimacy,ideal intimacy,the degree of dissatisfaction with intimacy,actual adaptability,ideal adaptability,the degree of dissatisfaction with adaptability of the observation group vs the control group were(57.68±3.18)
作者
郑娟
赵黎萍
张展星
ZHENG Juan;ZHAO Li-ping;ZHANG Zhan-xing(Department of Psychology,the Baoshan Mental Health Center of Shanghai City,Shanghai 201999,CHINA;Medical Section,the Baoshan Mental Health Center of Shanghai City,Shanghai 201999,CHINA;President's Office,the Baoshan Mental Health Center of Shanghai City,Shanghai 201999,CHINA)
出处
《海南医学》
CAS
2020年第17期2199-2202,共4页
Hainan Medical Journal
基金
上海市宝山区医学卫生项目(编号:19-E-25)。
关键词
内观认知疗法
精神分裂症
康复期
生活质量
社会功能
自知力
疗效
Vipassana cognitive therapy
Schizophrenia
Rehabilitation period
Quality of life
Social function
Insight
Curative effect
