认知治疗对精神分裂症患者自知力的影响

Effect of cognitive therapy on insight and treatment compliance of schizophrenic patients

目的:探讨认知疗法对精神分裂症患者自知力的影响。 方法:将精神分裂症100例随机分成药物治疗(药物组)51例,药物加认知治疗(联合组)49例,分别于入院时和出院时进行简明精神病评定量表(BPRS)和自知力与治疗态度问卷表(ITAQ)测定。 结果:BPRS在两组之间无显著性差异(P>005)。ITAQ在入院时两组无显著性差异(P>005),但出院时联合组得分高于药物组,有显著性差异(P<005)。 结论:认知性心理治疗对精神分裂症病人自知力恢复有明显帮助。

Objective:To study the effect of cognitive therapy on insight and treatment compliance of schizophrenic patients. Method:100 inpatients with diagnosis of schizophrenia were randomly assigned into the drug therapy only group and combined drug and cognitive therapy group. The Brief Psychiatric Rating Scale (BPRS) and Insight Treatment Attitude Questionnaire (ITAQ) were administered on admission as inpatients and at discharge. Results:The two treatment groups showed no significant difference in BPRS showed on admission and at discharge. The combined drug and cognitive therapy group, scored significantly higher in ITAQ than the drug only group though showed no significant difference with latter on admission. Cnclusion:Cognitive therapy is effective in improving the insight of schizophrenic patients.