内观认知疗法对精神分裂症患者服药依从性的影响

Effect of Naikan Cognitive Therapy on medication adherence in schizophrenic patients

目的:评价内观认知疗法对精神分裂症患者服药依从性的影响。方法:将稳定期患者随机分成研究组和对照组,研究组在药物治疗同时予以8周内观认知治疗,对照组在药物治疗同时予以8周工娱治疗。两组患者分别在治疗前及治疗后8周、半年时进行PANSS、ITAQ及MARS测试。结果:治疗前研究组与对照组在一般资料、PANSS、ITAQ和MARS评分均无显著性差异(P>0.05);在治疗8周后及6个月随访时,研究组PANSS、ITAQ和MARS评分改善较对照组差异有统计学意义(P<0.05)。结论:内观认知疗法可以显著提高精神分裂症患者服药依从性。

Objective： To investigate the effect of Naikan Cognitive Therapy on medication adherence in schizophrenic patients.Methods：Schizophrenic patients were divided into research group and control group randomly. Drug treatment and Naikan Cognitive Therapy were given to the research group for 8 weeks. At the same time, the control group was treated with drug and work entertainment for 8 weeks. Two groups of patients were tested PANSS, ITAQ, MARS scores before and after treatment, respectively. Results： There was no significant difference between the two groups in terms of general information（P〉0.05）. There was no significant difference between the two groups in PANSS,ITAQ,MARS before treatment either（P〈0.05）. During the treatment for 8 weeks to half a year, PANSS,ITAQ,MARS scores of the research group improved significantly compared with the control group（P〈0.05）. Conclusion： Naikan Cognitive Therapy can significantly improve the medication adherence of schizophrenic patients.