社区慢性精神分裂患者心理行为干预前后认知功能的研究

Effect of Psychologic Behavior Training on Cognitive Function of Community Chronic Schizophrenia Patients

目的探讨社区慢性精神分裂症患者认知功能损害的范围和特点以及心理行为干预后认知功能的改善状况。方法社区慢性精神分裂症患者(研究组)76例,随机选取正常成人(对照组)80例。采用世界卫生组织认知功能评价成套测验(WHO-BCAI)、简易智能状态检查(MMSE)、日常生活量表(ADL)进行测试。结果对照组和研究组干预前、后MMSE总分平均为(28.8±1.4)、(21.2±3.5)、(24.8±4.2);ADL总分平均为(18.1±1.3)、(28.3±8.7)、(14.4±7.8);WHO-BCAI测验结果显示,对照组与研究组干预前后、研究组干预前后之间在听觉词汇学习、语言能力、视觉辨认、注销、连线、分类、精神运动和空间结构测验中分别有显著性差异(P<0.05或P<0.01)。结论社区慢性精神分裂症患者认知功能具有广泛障碍,心理行为干预对其认知功能的改善具有良好的效果。

Objective To observe the structure of cognitive injury and the effect of psychologic behavior training on cognitive function in community chronic schizophrenic patients. Methods80 healthy adults （control group） and 76 community chronic schizophrenia patients （research group） were assessed with World Health Organization-battery of cognitive assessment instrument for elderly （WHO-BCAI）,mini-mental state examination （MMSE）,and activities of daily living （ADL） pre- and post-psychologic behavior training. ResultsThere were significant differences in the scores of WHO-BCAI,MMSE,ADL between control group and research group （P0.05 or P0.01）. 12 months after training,all the scores of research group significantly improved compared with that before training （P0.05 or P0.01）. ConclusionCognitive disorders have occurred in the community chronic schizophrenia patients in wide range. Psychologic behavior training can improve their cognitive function.