认知行为治疗精神分裂症患者临床对照研究

A comparison of clinilcal study of schizophrenia with and without Cognitive behavior therapy

目的:探讨认知行为治疗对精神分裂症患者的疗效。方法:89例符合条件的精神分裂症患者随机分成两组,一组予以认知行为治疗合并利培酮治疗(研究组),另一组予利培酮治疗(对照组),所有患者在入组前及治疗后2、4、6、8周末分别用阳性症状和阴性症状量表(PANSS),治疗时出现的症状量表(TESS)评定。结果:研究组第4周末起阴性症状分,一般精神病理分及PANSS总分均较对照组有明显改善。二组间不良反应无显著性差异。结论:认知行为治疗是治疗精神分裂症的一种有效方法。

Objective ：To assess the effects of Cognitive Behaviror Therapy（CBT） for patients with schizophrenia. Methods： 89 patients with schizophrenia were randomly assingned to Risperidone treatment group with and without CBT. The therapeutic response and side effects were evaluated with the positive and negative symptom scale （PANSS） and the treatment emergent symptom scale （TESS） before and after 2,4,6,8 weeks treatment. Results：According to the scores of PANSS ,the efficacy was better in study group than in control group at 4 weeks .There was no significant difference in TESS scores. Conclusion ：It is suggested that CBT is a promising treatment.