新森田疗法和康复疗法对精神分裂症康复治疗的对照研究

A Comparative Study on New Morita Therapy and Rehabilitation Therapy for Rehabilitation of Schizophrenia.

目的比较新森田疗法与康复疗法对精神分裂症康复治疗的效果。方法对符合入组标准的150例精神分裂症患者随机分为新森田疗法组和康复疗法组,治疗10周。于治疗前后分别用IPROS、BPRS、自知力评定进行自身和相互对照以评定疗效。结果两组治疗前后自身对照PPROS分量表及总分值、BPRS量表总分及因子分、自知力恢复情况均有显著差异(P均<0.01);相互对照:新森田疗法组康复效果更显著(P<0.01),焦虑抑郁和缺乏活力因子分的减分率更明显(P<0.01)。自知力恢复也较康复疗法组更显著(P<0.01)。结论新森田疗法和康复疗法对协助临床改善精神分裂症的部分精神症状,自知力的恢复和社会功能的提高均有效,两者比较,新森田疗法的疗效更显著。

Objective To compare the efficacy of New Morita Therapy with that of Rehabilitation Therapy on recovery of schizophrenia. Methods 150 Schizophrenic inpatients were randomly divided into New Morita Therapy（NMT） group and Rehabilitation Therapy（RT） group. IPROS, BPRS and the rating of insight were used to evaluate the efficacy before treatment and 10 week after treatment. Results There were significafit differences between two groups in IPROS, and the NMT group was significantly better than RT（P 均〈0. 01）. After treatment, the reduction rate of anxiety-Depression and Anergia scores of BPRS in NMT group was larger than that of RT group, and the recovery of insight was also better in NMT group. Conclusion Both NTM and RT were useful in the improvement of rehabilitation and the recovery of insight and social function in psychiatric pa- tients, while NMT was much more better than RT.