森田心理疗法联合社交技能训练对慢性精神分裂症住院患者认知功能和社会功能的影响研究

Study on the effects of Morita psychotherapy combined with social skills training on cognitive and social functions in hospitalized patients with chronic schizophrenia

目的探讨森田心理疗法联合社交技能训练在慢性精神分裂症住院患者中的应用效果。方法选取2020年8月至2021年4月于百色市第二人民医院住院治疗的150例慢性精神分裂症患者作为研究对象,按照随机数字表法分为森田组、技能组及联合组,各50例。各组均进行常规药物治疗,森田组采用森田疗法治疗,技能组进行社交技能训练,联合组采用森田疗法联合社交技能训练治疗,比较3组干预前后认知功能、社会功能、自尊情况及自我价值感。结果干预后,3组简易精神状态检查表(MMSE)、个人和社会功能量表(PSP)评分均高于干预前,且联合组MMSE、PSP评分均高于森田组与技能组,差异有统计学意义(P<0.05),而森田组与技能组比较差异无统计学意义。干预后,3组缺陷感量表(FIS)、德克萨斯社交行为问卷(TSBI)评分均高于干预前,且联合组FIS、TSBI评分均高于森田组与技能组,差异有统计学意义(P<0.05),而森田组与技能组比较差异无统计学意义。结论森田心理疗法联合社交技能训练能提高慢性精神分裂症住院患者的认知功能与社会功能、社交能力,增强其自尊水平、自我价值感,值得临床推广应用。

Objective To explore the effect of Morita psychotherapy combined with social skills training in inpatients with chronic schizophre-nia.Methods 150 patients with chronic schizophrenia hospitalized in the Second People's Hospital of Baise City from August 2020 to April 2021 were selected as the study subjects,and they were divided into the Morita group,skill group and combined group according to random number table method,with 50 cases in each group.Drug therapy in all group,the Morita group received Morita therapy,the skill group received social skill train-ing,and the combination group received Morita therapy combination with social skill training.The cognitive function,social function,self-esteem and sense of self-worth before and after intervention were compared among the three groups.Results After intervention,the mini-mental state exam-ination(MMSE)and social performance scale(PSP)scores among the three groups were higher than before intervention,and the MMSE and PSP scores in the combination group were higher than those in the Morita group and the skill group,the differences were statistically significant(P<0.05),while there were no significant difference between the Morita group and the skill group.After intervention,feelings of inadequacy scale(FIS)and Tesas social behavior inventor(TSBI)score among the three groups were higher than before intervention,and FIS and TSBI score in the combi-nation group were higher than the Morita group and the skill group,the differences were statistically significant(P<0.05),while there was no statisti-cally significant difference between the Morita group and the skill group.Conclusion Morita psychotherapy combined with social skill training can improve the cognitive function,social function and social ability of hospitalized patients with chronic schizophrenia,and enhance their self-esteem and sense of self-worth,which is worthy of clinical promotion and application.