开放式管理并认知行为治疗对精神分裂症患者社会功能的影响

A controlled study of open management plus cognitive behaviour therapy on social function of schizophrenia patients at convalescent stage

目的探讨开放式管理并认知行为治疗对恢复期精神分裂症患者社会功能的影响。方法在药物治疗的基础上,观察组60例恢复期精神分裂症患者实施开放式管理并认知行为治疗,对照组60例恢复期精神分裂症患者实施封闭式管理并一般的心理支持治疗。两组患者分别于入组时、入组6周时、入组12周时用康复状态量表(MRSS)、社会功能缺陷筛选量表(SDSS)、护士用住院病人观察量表(NOSIE-30)、日常生活能力量表(ADL)进行社会功能评定。结果入组时两组间MRSS、NOSIE-30、SDSS、ADL评分比较,差异无显著性(P>0.05);入组6周时观察组MRSS、NOSIE-30、SDSS、ADL评分与对照组比较,差异有显著性(P<0.05或P<0.01);入组12周时观察组MRSS、NOSIE-30、SDSS、ADL评分与对照组比较,差异有非常显著性(P<0.01)。结论开放式管理并认知行为治疗对精神分裂症患者社会功能的恢复效果肯定,是精神分裂症病人回归社会的有效途径。

Objective： To explore the clinical efficacy of open management plus cognitive behaviour therapy（CBT） on social function of schizophrenia patients at convalescent stage.Methods： Antipsychotic treatment was maintained in both of the groups of the 60 patients,but the research group also received CBT and open management and the control had common psychotherapy for 3 months.MRSS,SDSS,NOSIE-30 and ADL were used to evaluate social function before and after 6,12-weeks treatment respectively.Results： The scores of MRSS,SDSS,NOSIE-30 and ADL had no significant difference before treatment（P0.05）,and the scores of MRSS,SDSS,NOSIE-30 and ADL had significant difference after 12 weeks treatment（P0.01）.Conclusion： Open management plus cognitive behaviour therapy improves social function of schizophrenia patients at convalescent stage.