综合性心理治疗对康复期精神分裂症患者焦虑抑郁的影响

Effects of comprehensive psychotherapy on anxiety-depression of convalescence schizophrenics

目的了解综合性心理治疗对康复期精神分裂症患者焦虑抑郁情绪的影响。方法将92例康复期精神分裂症患者根据治疗方式分为两组，每组46例。两组均口服利培酮口腔崩解片维持治疗，观察组在此基础上联合综合性心理治疗，观察8周。于治疗前后采用焦虑自评量表和抑郁自评量表评定焦虑抑郁情绪。结果治疗前两组焦虑自评量表和抑郁自评量表评分比较差异无显著性（P〉0．05）；治疗后观察组较治疗前显著降低（P〈0．01），对照组则无显著变化（P〉0．05），观察组显著低于对照组（P〈0．01）。结论康复期精神分裂症患者在药物维持治疗的基础上，联合综合性心理治疗能显著缓解患者的焦虑、抑郁情绪。

Objective To investigate the effects of comprehensive psychotherapy on anxious-depressive emotions of convalescence schizophrenics. Methods Ninety-two convalescence schizophrenics were assigned to two groups of 46 ones each according to treatment modalities. Both groups received maintenance therapy of risperidone orally disintegrating tablets （RODT）, on this basis observa- tion group was plus comprehensive psychotherapy for 8 weeks. Anxious-depressive emotions were assessed with the Self-rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS） before and after treat- ment. Results There were no significant group differences in the SAS and SDS score before treatment （P^0.05） ; after treatment the SAS and SDS score lowered more significantly compared with pretreatment in observation group （P^0.01）, had no significant changes in control group （P^0.05）, and were signifi- cantly lower in observation than in control group （P^0.01）. Conclusion Comprehensive psychotherapy could notably relieve anxious-depressive emotions of convalescence schizophrenics on the basis of drug ma- intenance therapy.