| 团体心理治疗对首发精神分裂症患者认知功能、社会功能及疗效的影响 |
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| 引用本文： | 石银燕,夏泳.团体心理治疗对首发精神分裂症患者认知功能、社会功能及疗效的影响[J].中华全科医学,2018,16(6):957-960. |
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| 作者姓名： | 石银燕 夏泳 |
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| 作者单位： | 杭州市第七人民医院精神科, 浙江 杭州 310013 |
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| 基金项目： | 浙江省卫生厅科研计划项目(2017KY546) |
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| 摘 要： | 目的 探讨团体心理治疗对奥氮平治疗2月的首发精神分裂症患者的认知功能、社会功能及精神症状的影响。 方法 100例病例来源于2015年12月-2017年3月在杭州市第七人民医院就诊的精神分裂症患者,按随机数字表法分成研究组(n=50)和对照组(n=50),研究组在药物治疗基础上予8周的团体心理治疗,对照组采用单一药物治疗。于基线、8周末使用WCST评定认知功能,使用PSP评定社会功能,PANSS评定精神症状,并对结果进行分析。 结果 治疗前,2组间认知功能、社会功能、精神症状差异无统计学意义。团体心理治疗8周后,研究组总应答数、错误应答数、持续错误数、非持续错误数较治疗前减少,正确应答数、完成分类数增多,研究组与对照组相比,总应答数、正确应答数、错误应答数、持续错误数、非持续错误数、完成分类数差异具有统计学意义(P<0.05)。治疗后研究组的PSP总分高于对照组,有益活动、社会关系、自我照料因子分低于对照组,差异具有统计学意义(P<0.05),攻击性因子分组间差异无统计学意义(P>0.05)。治疗后研究组阴性症状分下降,2组间阴性症状分差异有统计学意义(P<0.05)。 结论 团体心理治疗能有效改善首发精神分裂症患者的认知功能、社会功能及阴性症状。
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| 关 键 词： | 团体心理治疗 首发精神分裂症 认知功能 社会功能 |
| 收稿时间： | 2018-01-09 |
Effect of group psychotherapy on cognitive,social functions and curative efficacy in first-episode schizophrenia patients |
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| Affiliation: | Department of Psychiatry, the Seventh People's Hospital of Hangzhou, Hangzhou, Zhejiang 310013, China |
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| Abstract: | Objective To investigate the effect of group psychotherapy on cognition, social function and psychiatric symptoms in patients with first-episode schizophrenia administrated with olanzapine for two months. Methods A total of 100 patients were diagnosed with schizophrenia who are in the Seventh People's Hospital of Hangzhou from December, 2015 to March, 2017 were divided into study group (n=50) and control group (n=50) according to random number table. The study group was given 8 weeks group psychotherapy. At baseline, at 8 weeks WCST was used to assess cognitive function, PSP to assess social function, PANSS to assess psychiatric symptoms, and analyze the results. Results Before treatment, there was no significant difference in cognitive function, social function and mental symptoms between the two groups. After 8 weeks of group psychotherapy, total response, the number of error response, continuous error and non-continuous error in the study group decreased compared with that before treatment, the number of correct responses and the number of completed classification increased. Compared with the control group, total response, the number of correct responses and the number of incorrect responses. The number of continuous errors, the number of non-continuous errors, the number of completed classification differences were statistically significant (P<0.05). After treatment, the total score of PSP in the study group was higher than that in the control group. The scores of beneficial activities, social relations and self-care factors were lower than those in the control group (P<0.05), but there was no significant difference between the groups>0.05. After treatment, the scores of negative symptoms decreased in the study group, and the difference of negative symptoms between the two groups was statistically significant (P<0.05). Conclusion Group psychotherapy can effectively improve cognitive function, social function and negative symptoms in first episode schizophrenia patients. |
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