摘要
目的探讨奥氮平治疗联合正念认知疗法在巩固期精神分裂症中的应用效果。方法选取江西康宁医院2021年7月至9月收治的60例巩固期精神分裂症患者作为研究对象,采用随机数字表法将其分为对照组(30例)和正念认知组(30例)。对照组采用奥氮平治疗,正念认知组采用奥氮平治疗联合正念认知疗法。比较两组患者的精神症状、焦虑和抑郁程度、治疗态度、正念认知情况。结果正念认知组治疗8周、6个月后的阳性与阴性症状量表(PANSS)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分低于对照组,治疗8周、6个月后的自知力与治疗态度量表(ITAQ)评分、五因素正念觉知量表(FFMQ)评分高于对照组,差异均有统计学意义(P<0.05)。结论对巩固期精神分裂症患者应用正念认知疗法能较好地巩固患者的疗效,提高治疗依从性,在改善其负面情绪,尽快回归社会的同时,还能减少社会和家庭的经济负担。
Objective To investigate the effect of Olanzapine combined with mindfulness-based cognitive therapy in the treatment of schizophrenia in the consolidation phase.Methods A total of 60 patients with schizophrenia in the consolidation phase treated into Jiangxi Kangning Hospital from July to September 2021 were selected as research subjects,and they were divided into the control group(30 cases)and the mindfulness-based cognitive group(30 cases)by random number table method.The control group received Olanzapine treatment,and the mindfulness-based cognitive group received Olanzapine treatment combined with mindfulness-based cognitive therapy.Mental symptoms,anxiety and depression,treatment attitude and mindfulness cognition were compared between the two groups.Results The scores of positive and negative symptoms scale(PANSS),self-rating anxiety scale(SAS)and self rating depression scale(SDS)in the mindfulness-based cognitive group after 8 weeks and 6 months of treatment were lower than those in the control group,the scores of insight and treatment attitude questionnaire(ITAQ)and five factor mindfulness questionnaire(FFMQ)in the mindfulness-based cognitive group after 8 weeks and 6 months of treatment were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion The application of mindfulness-based cognitive therapy for schizophrenic patients in the consolidation phase can better consolidate the efficacy of patients,improve the treatment compliance,improve their negative emotions,return to the society as soon as possible,and reduce the economic burden of the society and family.
作者
钟笑
张小娟
敖琴
马昌明
鲍观兴
董臻
ZHONG Xiao;ZHANG Xiaojuan;AO Qin;MA Changming;BAO Guanxing;DONG Zhen(Department of Psychiatry,Jiangxi Kangning Hospital(Jiangxi Honorary Military Rehabilitation Hospital),Jiangxi Province,Nanchang 330103,China;Department of Medical Sciences,Jiangxi Kangning Hospital(Jiangxi Honorary Military Rehabilitation Hospital),Jiangxi Province,Nanchang 330103,China)
出处
《中国当代医药》
CAS
2022年第31期82-85,共4页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202211443)。
关键词
正念认知疗法
巩固期
精神分裂症
疗效
Mindfulness-based cognitive therapy
Consolidation phase
Schizophrenia
Efficacy
