综合心理治疗模式对精神分裂症患者认知功能和焦虑情绪的疗效

Effect of comprehensive psychotherapy model on cognitive function and anxiety in patients with schizophrenia

目的探讨综合心理治疗模式治疗精神分裂症的认知功能和焦虑情绪的疗效评价。方法本研究入组精神分裂患者136例,随机分为观察组(n=67)和对照组(n=69)。两组均进行常规药物治疗,观察组同时进行综合心理治疗模式。通过比较两组患者在认知功能、焦虑状态和出院后1年复发情况。结果两组患者治疗前后其认知功能评分(语言流畅性、连线、数字序列、空间广度、持续操作训练、情绪管理)和焦虑情绪评分均明显改善,且观察组上述指标改善程度均优于对照组,差异有统计学意义(P<0.05)。观察组1年复发率13.437%明显小于对照组28.99%(P<0.05)。结论在常规药物治疗的基础上合并综合心理模式的心里治疗,能够明显改善精神分裂症患者的认知功能,减轻患者的焦虑状态,疾病复发几率较低。

Objective To evaluate the efficacy of comprehensive psychotherapy on cognitive function and anxiety in patients with schizophrenia.Methods 136 patients with schizophrenia were enrolled in this study.The patients were randomly divided into the observation group（n=67）and the control group（n=69）.Both groups were treated with conventional drugs,and the observation group was treated with comprehensive psychotherapy at the same time.By comparing the two groups of patients in cognitive function,anxiety status,and recurrence after 1 years of discharge.ResultsThe scores of cognitive function（verbal fluency,connection,digital sequence,spatial span,continuous operation training,emotional management）and anxiety scores in two groups were both significantly improved after treatment than before therapy,and these above indexes in observation group were more improved than those in the control group,the differences were all statistically significant（P〈0.05）.The recurrence rate was 13.43% in the observation group,which was significantly lower than that in the control group which was 28.99%（P〈0.05）.Conclusion On the basis of conventional antipsychotic drugs therapy,the combination with comprehensive psychotherapy model can be more significantly to improve the cognitive function of patients with schizophrenia,reduce the anxiety state,and have lower the recurrence rate of the disease.