认知治疗对恢复期精神分裂症患者病耻感的影响

Effect of cognitive therapy on stigma in patients with schizophrenia during recovery period

目的观察认知疗法对恢复期精神分裂症患者病耻感的影响。方法将65例恢复期精神分裂症患者随机分为研究组33例和对照组32例:研究组使用药物联合认知治疗;对照组单纯使用药物治疗,以精神病患者病耻感评估量表(psychopath stigma scale)作为评定量表。结果治疗8周后,研究组社交因子、能力因子和病耻感总分较对照组均有明显改善(P<0.05),研究组中社交因子(13.76±4.53)、能力因子(7.18±2.54)、治疗因子(9.91±2.59)和病耻感总分均明显优于治疗前,差异有统计学意义(P<0.05);而对照组各因子及病耻感总分治疗前与治疗后比较仅治疗因子有明显改善(11.97±4.07 vs 10.19±2.61,P<0.05)。结论认知疗法能够降低恢复期精神分裂症患者病耻感,有利于提高患病官兵对部队生活的适应能力,提高对治疗的依从性,改善生活质量,对促进康复具有一定价值。

Objective Using cognitive therapy to observe the effects on the recovery of stigma in patients with schizophrenia. Methods 65 patients with schizophrenia were randomly divided into study group （33 cases） and control group （32 cases） ：the study group used medicine combined with cognitive therapy;the control group was treated only with drugs. They all were rated with mental disease assessment scale （ psychopath stigma scale）. Results After 8 weeks＇ treatment,in the study group, social factors, ability fac- tor and stigma scores were significantly improved compared with the control group, the difference was statistically significant （P 〈0.05）. In the study group, social factor, ability factor, therapeutic factor and stigma scores were significantly higher than those before treatment （ P 〈 0.05 ） , while in the control group, for each factor and stigma scores compared before and after the treatment, on- ly theraheufic factor significantly improved （P 〈 0.05 ）. Conclusions Cognitive therapy can reduce the stigma in convalescent pa- tients with schizophrenia,is also beneficial to improve the ability to adapt the sick soldiers to army life, improve compliance to treat- ment, to develop the quality of life, has some certain value for promoting disease rehabilitation.