团体心理治疗和家庭治疗对康复期精神分裂症患者的治疗效果分析

The effect of group psychotherapy and family therapy for schizophrenia patients during the convalescence

目的探讨团体心理治疗和家庭治疗对康复期精神分裂症患者的治疗效果。方法选取2013年9月至2015年10月本院收治并确诊的98例精神分裂症患者，随机分为两组，每组49例，两组均给予抗精神病药物利培酮治疗，对照组实施家庭治疗，观察组被分为若干小组实施团体心理治疗，治疗结束后采用社会功能评价量表（SSSI）和日常生活能力量表（ADL）评价治疗效果。结果两组患者治疗前SSSI与ADL评分相近，差异无统计学意义（P〉0．05）；治疗后观察组SSSI评分与ADL评分较治疗前明显降低，且变化幅度大于对照组，组间比较差异有统计学意义（P〈0．05）。结论团体心理治疗对康复期精神分裂症患者效果显著，能够有效改善患者社会功能与日常生活能力，效果优于一般家庭治疗，值得临床推广。

Objective To discuss the clinical effect of group psychotherapy and family therapy for schizophrenia patients during the convalescence. Methods 98 patients diagnosed as schizophrenia in our hospital from September 2013 to October 2015 were selected and were randomly divided into two groups, 49 cases in each group. The two groups were treated with antipsychotic rispefidone, the control group was treated with family therapy, and the observation group was divided into several groups and given group psychotherapy. SSSI and ADL were used to evaluate efficacy at the end of treatment. Results The scores of SSSI and ADL were similar in the two groups before treatment, without statistically significant differences （P〉0.05）. The scores of SSSI and ADL of the observation group after treatment were significantly lower than those before treatment, the range of change was greater than that of the control group, with statistically significant differences between the two groups （/＇〈0.05）. Conclusion Group psychotherapy is effective in schizophrenia patients during the convalescence, which can improve the social function and the daily life ability of the patients, the effect is better than that of general family therapy, worthy of clinical promotion.