行为疗法对慢性精神分裂症康复的效果观察

THE EFFECT OF CHRONIC SCHIZOPHRENIC PATIENTS WITH BEHAVIOR THERAPY

对精神分裂症衰退期病人特有的阴性症状和行为缺损应用条件强化法进行训练,以精神科BPRS和SANS(简明精神病量表和阴性症状量表)及日常行为观察对其精神功能和社会功能的恢复进行评估.通过40例慢性精神分裂症病人行为治疗单盲对照观察,实验组治疗前后差异有显著性(P<0.01).疗效优于对照组.结果认为:行为疗法有利于幔性精神分裂症病人的康复.可以减轻部分精神症状,能对特有的懒散、淡漠、退缩建立一系列积极行为,提高自理能力,防止和延缓衰退,利于早日恢复精神功能,回归社会.

With behavior therapy, we trained and corrected the negative symptoms and conduct deficit in chronic schizophrenic patients.Forty chronic schizo-phrenic patients were evaluated with BPRS (Brief Psychiatric Rating Scale) , SANS (Scale Assessment for Negative Symptoms) and observing their daily activities.The result showed that the effect of experimental group was much better than that of matched group (P<0.01).The writer thought that behavior therapy is effective to chronic schizoprenic patients. It can alleviate psychiatric symptoms, especially the special symptoms such as laziness, apathy and regression.It also can promote patients'self-care ability and social functioning, prevent deterioration and make them return to the society earlier.