结构式团体心理治疗对精神分裂症青少年患者自我和谐感的疗效

Efficacy of structural group psychotherapy on self consistency and congruence in adolescent patients with schizophrenia

目的:研究结构式团体心理治疗对精神分裂症青少年患者自我和谐感的疗效。方法:将60例精神分裂症青少年患者随机分成两组,对照组患者仅进行药物治疗,研究组患者进行药物治疗同时辅以结构式团体心理治疗,每周2次,每次1h,共12次。在治疗前、治疗后及治疗结束3个月后采用自我和谐量表(SCCS)和阳性与阴性症状量表(PANSS)对两组患者进行评定。结果:治疗后,研究组患者的自我与经验不和谐、自我灵活性、SCCS总分、阳性症状、一般精神病理、PANSS总分与对照组相比有差异,差异有统计学意义;治疗结束3个月后,研究组患者的自我与经验不和谐、自我灵活性、PANSS总分与对照组相比,差异有统计学意义。结论:结构式团体心理治疗可明显改善精神分裂症青少年患者的自我和谐感。

Objective：To explore the efficacy of the structural group psychotherapy on the self consistency and congruence in adolescent patients with schizophrenia. Methods：60 adolescent patients with schizophrenia were randomly divided into intervention group and control group. Besides the drug treatment, the intervention group received structural group psychotherapy for 6 weeks （1hour each time, 2 times per week） while the control group was not interfered. All the patients were assessed with self consistency and con-gruence scale （SCCS） and positive and negative syndrome scale （PANSS） before the intervention, after the intervention and 3 months after the intervention. Results： There were statistical differences between the two groups in self experience disharmony, self flexibility, SCCS scores, positive syndrome, general psychopathology and PANSS scores after the intervention. There were statistical differences between the two groups in self experience disharmony, self flexibility and PANSS scores 3 months after the intervention. Conclusions：The structural group psychotherapy has the obvious curative effect on the self consistency and congruence in the adolescent patients with schizophrenia.