摘要
目的探讨系统家庭治疗对慢性精神分裂症患者认知功能的影响。方法将73例慢性精神分裂症患者随机分为两组,均服用利培酮维持治疗,干预组使用药物治疗的同时合并系统家庭治疗,对照组单纯使用药物治疗。观察疗程为24个月,于入组时及24个月后采用阳性与阴性症状量表（PAN SS）评定患者的临床疗效,同时给予威斯康星卡片分类测验（W CST）和连续作业测验（CPT）评定患者的认知功能。结果 PAN SS总评分在入组时及24个月后两组之间无统计学差异（t=1.253,1.725,P均〉0.05）,但干预组各项认知功能指标均较对照组有不同程度的改善（t=2.472~4.783,P〈0.05或P〈0.01）。结论系统家庭治疗能有效改善慢性精神分裂症患者的认知功能。
Objective To explore effects of systemic family treatment on cognitive function of chronic schizophrenia.Methods A total of 73 patients with chronic schizophrenia were randomly divided into intervention group and control group.Two groups were accepted maintenance treatment of risperidone.Patients in intervention group were treated by antipsychotics with systemic family treatment,while antipsychotics only for patients in control group for 24 months.Clinical efficacy was evaluated by Positive and Negative Symptoms Scale（PANSS） at baseline and 24 month after follow-up,Cognitive function was assessed by Wisconsion Card Sorting Test（WCST） and Continuous Perfomance Test（CPT） at baseline and 24 months after follow-up.Results There were no significant differences in total score of PANSS between two groups（t=1.253,1.725;P0.05）at baseline and 24 months after follow-up.Patients in intervention group had better performance in cognitive function than patients in control group（t=2.472～4.783,P0.05 or 0.01）.Conclusion Systemic family treatment can improve congitive function of chronic schizophrenia.
出处
《中国健康心理学杂志》
2011年第10期1176-1178,共3页
China Journal of Health Psychology
