摘要
目的对恢复期精神分裂症患者的自我和谐进行调查,并探讨团体心理治疗在其中的作用。方法 60名精神分裂患者作为研究对象接受自我和谐量表(SCCA)调查,将测查结果与常模比较。同时,将研究对象随机分为团体心理治疗组30例和常规治疗组30例,比较两组患者自我和谐的差异。结果 160例精神分裂症患者SCCS中自我与经验的不和谐、自我的刻板性均高于常模,自我的灵活性低于常模,差异均具有统计学意义(t=7.97,8.96,4.28;P<0.05);2经过6周治疗后,团体心理治疗组自我与经验的不和谐和自我的刻板性降低,差异具有统计学意义(t=4.81,3.86;P<0.05)。团体心理治疗组和常规治疗组在治疗前,自我和谐性的3个维度,即自我与经验的不和谐、自我的灵活性、自我的刻板性经比较差异无统计学意义(t=0.82,0.54,0.34;P>0.05)。治疗后,团体心理治疗组的自我与经验的不和谐和自我的刻板性均低于常规组,自我的灵活性高于常规治疗组,差异具有统计学意义(t=-2.31,-3.26,4.08;P<0.05)。结论精神分裂症患者自我和谐性差,团体心理治疗可以缓解患者的交往焦虑,提高自我和谐性。
Objective To investigate self- harmony in convalescent patients with schizophrenia and explore the role of group psychotherapy. Methods 60 schizophrenic patients as research subjects completed Self Consistency and Congruence Scale（ SCCS）,and the survey findings were compared with the norm. Meanwhile,the subjects were randomly divided into group psychotherapy group 30 cases and conventional treatment group 30 cases,and the differences of self- harmony in two groups were compared. Results 1 Self- experience disharmony,self- stereotypes of SCCS in 60 patients with schizophrenia were higher than the norm,self- flexibility lower than the norm（ t = 7. 97,8. 96,4. 28; P 0. 05）. 2 After 6 weeks of treatment,self- experience disharmony and self- stereotype in group psychotherapy were reduced（ t = 4. 81,3. 86; P 0. 05）. Three dimensions of self- harmony,namely,self- experience disharmony,self- flexibility,self- stereotyped in group psychotherapy group and the conventional treatment group before treatment were no statistically significant difference. After treatment,self- experience disharmony and self- stereotype in group psychotherapy group were lower than those of the conventional group,self- flexibility was higher than conventional treatment group（ t =-2. 31,-3. 26,4. 08; P 0. 05）. Conclusion Schizophrenia shows poor self- harmony to some extent. Group psychotherapy can alleviate patient interaction anxiety,improve self- harmony.
出处
《中国健康心理学杂志》
2014年第12期1857-1858,共2页
China Journal of Health Psychology
