团体心理治疗在精神分裂患者康复期的干预效果研究

Study on the Intervening Effect of Group Psychotherapy on Schizophrenic Patients in the Rehabilitation Period

为了探讨康复期的精神分裂患者进行团体心理治疗的效果，选取2015年3月至2016年3月于我院进行治疗的180例精神分裂患者为研究对象，将其随机分为两组，即实验组和对照组，每组90例患者，对照组患者进行常规抗精神病药物治疗和康复训练，实验组患者在此基础上进行团体心理治疗。采用简明精神病量表（BPRS）、社会功能评定量表（SFRS）、自我和谐量表（SCCS）、自知力与治疗态度问卷（ITAQ），分别在两组患者治疗前、治疗后进行测验。测验结果显示，两组患者治疗前简明精神病量表（BPRS）、社会功能评定量表（SFRS）、自我和谐量表（SCCS）、自知力与治疗态度问卷（ITAQ）的得分均无统计学意义上的差异（p〉0．05）。治疗后，实验组患者的简明精神病量表（BPRS）、社会功能评定量表（SFRS）、自我和谐量表（SCCS）的得分分别为：27．13±4．25、10．98±2．27和85．13±2．38，均显著低于对照组患者。实验组患者的自知力与治疗态度问卷（ITAQ）得分为13．78±3．24，显著高于对照组患者。精神分裂患者康复期运用团体心理治疗进行干预可显著改善精神病症状，恢复社会功能和自知力。

In order to explore the effect of group psychotherapy on schizophrenia patients in rehabilitation period, 180 schizophrenia patients treated in our hospital from March 2015 to March 2016 were selected as the objects. Patients were randomly divided into two groups： the experimental group and the control group, with 90 patients in each group. Patients in control group were treated with conventional antipsychotic treatment and rehabilitation training. The patients in the experimental group were additionally treated with group psychotherapy. Brief psychiatric rating scale （BPRS）, social function rating scale （SFRS）, self consistency and congruence scale （SCCS）, insight and treatment attitude questionnaire （ITAQ） of the two groups were tested before and after treatment, respectively. The test results showed that there was no statistically significant differences （p 〉0.05） in the brief psychiatric rating scale （BPRS）, social function rating scale （SFRS）, self consistency and congruence scale （SCCS）, insight and treatment attitude questionnaire （ITAQ） of these two groups before the treatment. After treatment, the scores of brief psychiatric rating scale （BPRS）, social function rating scale （SFRS）, as well as self consistency and congruence scale （SCCS） of the patients in experimental group were： 27.13±4.25, 10.98±2.27, 85.13±2.38, respectively, which were significantly lower than those in the control group. The insight and treatment attitude questionnaire （ITAQ） score in the experimental group was 13.78 ±3.24, which was significantly higher than that in the control group. The intervention treatment of group psychotherapy on schizophrenia patients in the rehabilitation period might significantly improve the symptoms of mental illness, restore social function and insight.