改良内观疗法对精神分裂症患者的疗效观察

An Open Trial of Modified Naikan Therapy to Patients with Schizophrenia

目的:评估改良内观疗法对精神分裂症患者的疗效。方法:通过开放性、单臂设计,74例稳定期的成年精神分裂症患者接受了30次的改良内观治疗,采用症状自评量表的人际关系敏感及敌对因子、生活满意度量表和抑郁自评量表作为疗效评价指标。结果:在接受改良内观治疗后,精神分裂症患者对生活的满意度提高(P<0.05),自我实现感增强(P<0.05),人际关系敏感也有改善的趋势(P=0.079)。结论:改良内观疗法可能通过增强自我实现感来提高精神分裂症患者对生活的满意度。

Objective： To evaluate efficacy of modified Naikan therapy to patients with schizophrenia. Methods： 74 sta- ble-phase adult patients with schizophrenia received 30 sessions of modified Naikan therapy in an open, one-arm trial. Out- come measures included interpersonal sensitivity and hostility factor of Symptom Checklist-90, Life Satisfaction Scales and Self-Rating Depression Scale. Results： Subjects improved on total score of life satisfaction scales and agreement between hope and realized goal. There was also a trend in improvement on interpersonal sensitivity subseale of SCL- 90. Conclu- sion： Modifed Naikan therapy may improve life satisfaction of patients with schizophrenia through enhancement of self-real- ization.