认知行为治疗对精神分裂症患者治疗依从性的影响

Influence of cognitive behavior therapy on of treatment compliance of schizophrenic patients

目的探讨认知行为治疗对精神分裂症患者治疗依从性的影响。方法对88例精神分裂症患者随机分为研究组44例和对照组44例,研究组在常规药物治疗的同时,辅以认知行为治疗,对照组按常规药物治疗。观察12周,以阴性与阳性症状量表(PANSS)评定病情,计算复发率;以自制依从性调查问卷评价干预效果。结果研究组复发率为0,干预8周PANSS评分与入组时比较差异显著(P<0.05),干预12周PANSS评分两组比较差异显著(P<0.05);对照组复发率为11.4%(5/44)。12周末两组依从性评分差异具显著性(P<0.05)。结论认知行为治疗可以提高患者的治疗依从性,减少疾病的复发。

Objective To explore the influence of cognitive behavior therapy （ CBT） on treatment compliance of schizophrenic patients. Methods 88 patients were randomly assigned to study group （ n = 44） and control group （ n = 44）. Study group were received CBT in addition to conventional medication,while control group were treated with only conventional medication for 12 weeks. The positive and negative symptom scale （ PANSS） was used to assess the patient＇s condition,and to calculate the recurrence rate. Intervention effect was assessed with self-made compliance questionnaire. Results The recurrence rate of study group was 0. Af-ter 8 weeks＇intervention,the scores of PANSS was significant difference than that of the baseline （ P 0. 05）. There was significant difference on the scores of PANSS between the two groups after 12 weeks＇intervention （ P 0. 05）. The recurrence rate of control group was 11. 4% （ 5 /44）. There was significant difference on the scores of compliance between the two group at 12 weekend （ P 0. 05）. Conclusion Our findings strongly suggest that CBT can improve the patients＇treatment compliance,reduce the disease＇s recurrence.