摘要
目的:探讨团体心理危机干预对首发精神分裂症患者一级亲属的防御机制及焦虑情绪的影响。方法:纳入符合ICD-10精神分裂症诊断标准、首次发病的患者一级亲属245例,随机分为干预组(127例)和非干预组(118例)。两组均履行常规告知,但干预组在此基础上接受4周的团体心理危机干预。在干预前后分别对两组使用防御方式问卷(DSQ)评估防御类型,汉密顿焦虑量表(HAMA)评估防御机制和焦虑情绪。结果:团体心理危机干预4周后,干预组DSQ成熟型防御机制评分[(38.0±15.7)vs.(32.3±11.9)]增高,不成熟型防御机制评分[(94.5±24.0) vs.(108.4±32.5)]及中间型防御机制评分[(160.4±48.8) vs.(177.5±55.4)]均降低(均P<0.05);非干预组DSQ各防御机制评分与干预前差异均无统计学意义(均P>0.05);干预组的HAMA评分差值[(6.1±1.3)vs.(4.0±0.9)]和有效率(66.1%vs.45.8%)均高于非干预组(P<0.001)。结论:团体心理危机干预技术可以改善首发精神分裂症患者一级亲属不良防御机制,增加成熟型防御机制应用,改善焦虑情绪。
Objective:To explore the effect of group psychological crisis intervention on the defense mechanism and anxiety of the first-degree relatives of patients with the first-episode schizophrenia.Methods:Totally 245 first-degree relatives of patients with first episode schizophrenia who met the diagnostic criteria of ICD-10 were enrolled and randomly divided into the intervention group(127 cases) and the non-intervention group(118 cases).The informed consent for all participants were obtained.The intervention group received group psychological crisis intervention for 4 weeks.The Defense Style Questionnaire(DSQ) and Hamilton Anxiety Scale(HAMA) were used to evaluate the type and the degree of defense mechanism as well as anxiety level in the two groups before and after the intervention, respectively.Results:There was no significant difference in both DSQ and HAMA scores within the two groups at baseline(Ps>0.05).After 4 weeks, the scores of mature defense mechanism in DSQ in the intervention group increased [(38.0±15.7)vs.(32.3±11.9)],and both immature defense mechanism scores [(94.5±24.0) vs.(108.4±32.5)] and intermediate defense mechanism scores [(160.4±48.8) vs.(177.5±55.4)] decreased compared with the baseline(Ps< 0.05).The DSQ scores of the non-intervention group showed no significant difference between the scores of each defense mechanism and those in the baseline(Ps>0.05).HAMA score difference [(6.1±1.3)vs.(4.0±0.9)] and response rate(66.1% vs.45.8%) were both higher in intervention group than in non-intervention group(P<0.001).Conclusion:It suggests that group psychological crisis intervention could improve the defense mechanism of the first-degree relatives of patients with first episode schizophrenia, through increasing the application of mature defense mechanism, and significantly improve anxiety.
作者
于妍
杜启峰
张岱威
曾海萍
YU Yan;DU Qifeng;ZHANG Daiwei;ZENG Haiping(The Third People's Hospital of Zhongshan,Zhongshan Mental Halth Center,Zhongshan 528451,Guangdong Province,China)
出处
《中国心理卫生杂志》
CSCD
北大核心
2021年第6期466-471,共6页
Chinese Mental Health Journal
基金
中山市医学科研项目(2018A020298)。
关键词
团体心理危机干预
首发精神分裂症
一级亲属
防御机制
焦虑
随机对照试验
group psychological crisis intervention
first-episode schizophrenia
first-degree relatives
defense mechanism
anxiety
random control trail
