摘要
目的研究探讨计算机认知矫正对精神分裂症患者执行功能和述情障碍的影响。方法选取2019年6月至2021年6月期间赣州市第三人民医院收治的120例精神分裂症患者为研究对象,采用随机抽签法分为研究组(60例)和对照组(60例)。对照组以常规治疗干预,研究组增加计算机认知矫正治疗。比较两组患者的临床疗效、阳性与阴性症状量表评分(PANSS)、重复性成套神经心理状态测验(RBANS)评分、多伦多述情障碍量表(TAS-26)评分。结果研究组总有效率高于对照组,差异有统计学意义(P<0.05)。治疗后研究组PANSS量表各项评分均低于对照组,差异有统计学意义(P<0.05)。治疗后研究组患者的RBANS各项评分均高于对照组,差异有统计学意义(P<0.05)。治疗后研究组患者的TAS-26各项评分均低于对照组,差异有统计学意义(P<0.05)。结论计算机认知矫正对精神分裂症患者的应用效果良好,可改善患者的各项症状和执行功能,降低患者的述情障碍,有较好的临床应用价值,可进一步推广。
Objective To study the effect of computer cognitive correction on executive function and alexithymia in patients with schizophrenia.Methods A total of 120 schizophrenic patients treated in Ganzhou Third People′s Hospital from June 2019 to June 2021 were selected as the study subjects,and they were divided into study group(60 cases)and control group(60 cases)by sortition randomization method.The control group was treated with routine treatment intervention,and the study group was treated with computer cognitive correction.The clinical efficacy,positive and negative symptom scale scores(PANSS),repeatable battery for the assessment of neuropsychological status(RBANS)and Toronto alexithymia scale(TAS-26)were compared between the two groups.Results The total effective rate of the study group was higher than that of the control group,the difference was statistically significant(P<0.05).After treatment,the scores of PANSS scale in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,the scores of RBANS in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).After treatment,the scores of TAS-26 in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion Computer cognitive correction has a significant therapeutic effect on schizophrenic patients.It can improve patients′symptoms,improve patients′executive function and reduce patients′alexithymia.It has good clinical application value and can be further popularized.
作者
黄冬华
孙颖芳
郭慧芸
毛忠珍
邓汝斌
刘华之
HUANG Donghua;SUN Yingfang;GUO Huiyun;MAO Zhongzhen;DENG Rubin;LIU Huazhi(Department of Rehabilitation Medicine,Ganzhou Third People′s Hospital,Jiangxi Province,Ganzhou341000,China;Psychological Counseling Room,Gannan Normal University Hospital,Jiangxi Province,Ganzhou341000,China;Department of Public Health,the First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou341000,China)
出处
《中国当代医药》
CAS
2022年第16期118-121,125,共5页
China Modern Medicine
基金
江西省卫生计生委科技计划项目(20204675)。
关键词
精神分裂症
计算机认知矫正
临床疗效
执行功能
述情障碍
Schizophrenia
Computer cognitive correction
Clinical efficacy
Executive function
Alexithymia
