结构式团体治疗对住院男性慢性精神分裂症患者孤独感的疗效

The efficacy of structural group therapy on the loneliness in male inpatients with chronic schizophrenia

目的:探讨结构式团体治疗对住院男性慢性精神分裂症患者孤独感的疗效。方法:选取符合中国精神疾病诊断与分类标准第三版(Chinese Classification and Diagnostic Criteria of Mental Disease,the rdversion,CCMD-3)慢性精神分裂症诊断标准,以阴性症状为主的住院男性患者共106例,随机分为研究组和对照组,每组各53例。研究组实施团体治疗,疗程3个月,对照组不做干预。于治疗前、治疗结束时及治疗结束后3个月分别采用情绪-社交孤独量表(Emotional-Social Loneliness Inventory,ESLI)、阴性症状量表(Scale for the Assessment of Negative Symptoms,SANS)和阳性症状量表(Scale for Assessment of Posi-tive Symptoms,SAPS)对两组进行总分及因子分评定。结果:治疗前两组ESLI、SANS、SAPS总分及各因子评分差异均无统计学意义;治疗结束时研究组ESLI总分及各因子分[如总分,(30.15±12.58)vs.(43.32±16.77)],SAPS总分[(0.42±0.82)vs.(0.96±1.67)]、SANS中情感平淡、兴趣-社交缺乏、注意障碍3项因子评分[(6.72±3.33)vs.(8.47±3.85),(15.00±3.49)vs.(17.06±3.26),(6.91±2.26)vs.(8.13±2.70)],均明显低于对照组(Ps<0.05);治疗结束后3个月治疗组ESLI总分及各因子分[如总分,(26.87±15.32)vs.(41.60±16.36)]及SANS中注意障碍因子[6.70±2.19)vs.(8.27±2.43)]评分降低明显,仍低于对照组(Ps<0.05)。结论:结构式团体治疗对改善住院男性慢性精神分裂症患者孤独感有明显疗效。

Objective： To explore the efficacy of the structural group therapy on the loneliness in male inpatients with chronic schizophrenia. Methods： The 106 male inpatients were selected from Rongjun Hospital of Hebei who met the diagnostic criteria for chronic schizophrenia CCMD-3 and had negative symptoms mainly. They were divided into research group （ n = 53 ） and control group （ n = 53 ） randomly. The research group received structural group therapy for 3 months while the comparison group was not interfered. All patients were assessed with the Emotion-Social Loneliness Scale （ ESLI ）, Scale for the Assessment of Negative Symptoms （ SANS ）, and Scale for Assessment of Positive Symptoms （ SAPS ） before treatment, at the end of treatment, and 3 months after treatment The data was analyzed by t-test. Results： The total score and factor scores of ESLI, SANS, SAPS had no statistically differences between the two groups before treatment. At the end of the treatment, the ESLI total score and factor scores [e. g. , total scores, （30. 15± 12. 58） vs. （43.32 ±16. 77） ] , SAPS total scores [ （0. 42±0.82） vs. （0.96±1.67）], andSANS factor scores [ emotional dull, （19.57±4.71） vs. （21.57±5.08）; interest-social lack, （15.00±3.49） vs. （17.06±3.26）, and note-obstacle （6.91 ±2.26） vs. （8.13 ± 2. 70 ） ] were significantly lower in research group than in control group （ Ps 〈 0. 05 ） . After 3 months of treatment, the total and factor scores of ESLI [e.g., total scores , （26.87±15.32） vs. （41.60±16.36）] and the noteobstacle factor scores of SANS [ （ 6. 70± 2. 19 ） vs. （ 8.27 ±2.43 ） ] were lower in research group than in control group （ Ps 〈 0. 05 ） . Conclusion ： Structural group therapy has the obvious curative effect on the loneliness in male hospitalized chronic schizophrenia patients.