计算机认知矫正治疗对提高精神分裂症患者社会功能水平的研究

Effect of computer cognitive correction on social function in schizophrenia patients

目的探讨计算机认知矫正治疗(CCRT)对提高精神分裂症患者社会功能水平的作用。方法收集2015年1~12月杭州市第七人民医院收治的处于康复期的精神分裂症患者100例,按照随机数字表法分为观察组和对照组,每组各50例。观察组患者接受计算机认知矫正治疗,对照组患者参与常规工娱活动,均持续3个月。治疗3个月后,采用阳性与阴性症状量表(PANSS)评估两组患者的病情严重程度;采用威斯康星卡片分类测验(WCST)评估两组患者的认知功能;采用社会功能缺陷筛选量表(SDSS)、个人和社会功能量表(PSP)评价两组患者的社会功能状况。结果两组患者的治疗前病情严重程度、认知功能、社会功能评分值差异无统计学意义(P>0.05);治疗3个月后,观察组PANSS总分、阳性量表分、阴性量表分、复合量表分均低于对照组(P<0.05);观察组WCST完成卡片总数、正确分类卡片数、完成分类数均高于对照组,持续错误数、随机错误数均低于对照组(P<0.05);观察组SDSS评分低于对照组(P<0.05);观察组PSP评分中社会中有用的活动、个人和社会的关系、自我照料、干扰和攻击行为等分值高于对照组(P<0.05)。结论 CCRT治疗可稳固康复期精神分裂症患者病情,在增强认知功能、社会功能方面具有卓越效果。

Objective To study the effect of computer cognitive correction on social function in schizophrenia patients. Methods One hundred schizophrenia patients underwent rehabilitation period in the Seventh People＇s Hospital of Hangzhou from January to December 2015 were selected and divided into observation group and control group, with 50 cases in each group, according to the random number table. The patients in observation group were treated by com- puter cognitive therapy and the patients in control group were treated by routine work and entertainment activities, all patients were treated for three months. Three months after treatment, the disease severity was assessed by PANSS, the cognitive function was evacuated by WCST and the social function was evacuated by SDSS and PSP. Results There had no significant difference in the disease severity, cognitive function and Social function between two groups before treat- ment （P 〉 0.05）. Three months after treatment, the PANSS scores such as total score, positive symptom score, negative subscale scores and composite score in observation group were lower than those in control group （P 〈 0.05）; the WCST scores such as complete the card number, card number, correct classification number, completed categories in cate- gories in observation group were higher than those in eontrol group, the persistent error number, number of random er- ror in observation group were lower than those in control group （P 〈 0.05）; the SDSS score in observation group was lower than that in control group, the PSP scores such as social useful activities, personal and social relations, self care, interference and aggressive behavior scores in observation group were higher than those in control group （P 〈 0.05）. Conclusion CCRT can further stabilize the condition of schizophrenia patients under rehabilitation period, and has ex- cellent effect in enhancing cognitive function and social function.