药物联合认知行为治疗对精神分裂症患者自我效能感的影响

目的:观察常规药物联合认知行为治疗对精神分裂症患者自我效能感的影响。方法:以2014年2月-2015年8月在我院接受治疗的精神分裂症患者为观察对象,随机分为对照组和观察组各40例。其中对照组给予常规药物治疗,观察组在常规药物治疗的基础上给予认知行为治疗。治疗前后采用阴性症状和阳性症状量表(PANSS)、智力测定工具、成人公认认知测评(MCCB)以及自我效能量表对其治疗效果进行调查。结果:治疗前两组患者的自我效能无明显差别(P0.05),治疗3个月和6个月时,观察组自我效能得分明显高于对照组(t=-3.115,-2.736;P0.01);治疗前两组患者的PANSS总分和各因子得分无明显差别,治疗后3个月和6个月时,观察组的PANSS总分和各因子得分低于对照组(t=8.286,4.745,5.030,10.018;P0.001);治疗前两组患者的瑞文智力测验结果无明显差别,治疗后3个月和6个月时,观察组瑞文智力测验结果高于对照组(t=-3.148,-4.812;P0.001);两组患者治疗前MCCB测验各项得分无明显差别,治疗后3个月和6个月时,观察组MCCB得分明显高于对照组。结论:常规药物联合认知行为治疗对精神分裂症患者有较好的治疗效果,可明显提高患者的自我效能,改善其临床症状。

Effect of Conventional Medicine Combined with Cognitive Behavior Therapy on Self Efficacy of Patients with Schizophrenia

Objective:To observe the effect of routine drug therapy combined with cognitive behavior therapy on self efficacy of patients with schizophrenia.Methods:Schizophrenia patient treated in our hospital from February 2014 to August 2015 were selected as the observation object,and randomly divided into control group and observation group;each group had 40 patients.The control group was given routine drug treatment;The observation group was given cognitive behavior therapy based on conventional treatment.The control group was given routine drug treat-ment;the observation group was given cognitive behavior therapy based on conventional treatment.Before and after treatment,the treatment effects were investigated by using negative symptoms and positive symptom scale(PAN-SS),intelligence measuring instruments,adult recognized cognitive assessment(MCCB)and self efficacy scale.Re-sults:Before treatment,there was no significant difference in self-efficacy between the two groups,and the self-ef-ficacy scores of the observation group were significantly higher than those of the control group after treatment for 3 and 6 months(t =-3.115,-2.736;P <0.01);Before treatment,there was no significant difference in PANSS score and factor scores between the two groups.After treatment for 3 and 6 months,the PANSS score and the scores of each factor in the observation group were lower than those in the control group (t = 8.286,4.745,5.030,10.018;P <0.001);Before the treatment,raven intelligence test results in two groups of patients had no obvious difference;after treatment for 3 months and 6 months,the observation group was higher than the control group in the scores of Ra-ven intelligence test(t =-3.148,-4.812;P < 0.001 );There were no significant differences in the scores of the two groups before treatment.3 and 6 months after treatment,the MCCB score of the observation group was significantly higher than that of the control group.Conclusion:The conventional medicine combined with cognitive behavior thera-py has good therapeutic effect on schizophrenia patients,can significantly improve the self-efficacy and the clinical symptoms of the patients.