团体心理治疗对恢复期精神分裂症患者生活质量及社会功能影响研究

Affects of group psychotherapy on the life quality and the social function of patients with schizophrenia in rehabilitation

目的探讨团体心理治疗对恢复期精神分裂症患者生活质量及社会功能的影响。方法选择120例住院的恢复期精神分裂症患者,采用随机数字法分为研究组和对照组。研究组在服用原有药物的基础上额外给予连续12次团体心理治疗;对照组除没有接受团体治疗外,其它条件与研究组相同,观察为期12周。在入组时及12周末分别对研究组和对照组进行精神分裂症患者生活质量量表(SQLS)、个体和社会功能量表(PSP)的评估。结果治疗12周末两组患者生活质量量表得分明显低于基线水平(33.85±6.80 vs 51.22±5.60,44.26±7.17vs 52.41±5.80,P<0.05),研究组显著低于对照组(33.85±6.80 vs44.26±7.17,P<0.001);两组患者社会功能量表得分高于基线水平(56.58±4.35vs50.25±3.50,53.23±3.52 vs 50.10±3.67,P<0.05),研究组显著高于对照组(56.58±4.35vs53.23±3.52,P<0.001)。结论对恢复期精神分裂症患者给予团体心理治疗,可以提高患者生活质量,促进其社会功能的康复,帮助患者更好地适应社会。

Objective To explore the effects of group psychotherapy on life quality and the social function of patients with schizophrenia in rehabilitation. Methods 120 hospitalized patients with schizophrenia in rehabilitation were randomly divided them into the experimental group and control group. The control group was given conventional treatment for 12 weeks,bisides these,the experimental group was given additional group psychotherapy. The effect was evaluated by the Personnal and Social Performance scale（PSP）and the Schizophrenia Quality of Life Scale（SQLS）. Results At the end of 12 weeks,SQLS scores of two groups were both significantly lower than the baseline（33.85±6.80 vs 51.22±5.60,44.26±7.17 vs52.41±5.80,P〈0.05）,the SQLS score of experimental group was apparently lower than the control group（33.85±6.80 vs44.26±7.17,P〈0.001）;PSP scores of two groups were both significantly higher than the baseline（56.58±4.35 vs50.25±3.50,53.23±3.52 vs 50.10±3.67,P〈0.05）;the PSP score of the experimental group was apparently higher than the control group（56.58±4.35 vs53.23±3.52,P〈0.001）. Conclusion Group psychotherapy on patients with chronic schizophrenia can improve the patients life quality,promote their social function.