团体心理辅导对精神分裂症患者青少年子女复原力和心理健康的影响

Effect of Group Psychological Counseling on Resilience and Mental Health of Adolescent Children with Schizophrenia

目的探讨团体心理辅导对精神分裂症青少年子女复原力和心理健康水平的影响。方法选取2014年3—9月在桂林市精神卫生中心就诊的精神分裂症患者的青少年子女100例,选取60例为被试,根据随机数字法分为干预组和对照组各30例,对干预组进行每周1次,共计12次的结构化的团体心理辅导;对照组采用非结构化的普通座谈会形式,之后进行复原力和心理健康各因子结果的对比。结果治疗后干预组复原力在自我接纳、稳定性、朋友支持、家人支持因子和总分上得分显著高于对照组[(12. 77±1. 34)分比(11. 43±1. 21)分,(24. 77±1. 45)分比(22. 73±1. 35)分,(30. 47±1. 62)分比(27. 70±1. 52)分,(18. 47±0. 98)分比(17. 72±1. 32)分,(115. 50±3. 70)分比(107. 82±2. 48)分,P <0. 05)],心理健康水平在躯体化、强迫、人际敏感、抑郁、焦虑、敌对、恐怖、偏执和总分得分显著低于对照组[(1. 50±0. 21)分比(1. 63±0. 20)分,(1. 80±0. 32)分比(1. 96±0. 30)分,(1. 67±0. 41)分比(1. 91±0. 44)分,(1. 47±0. 27)分比(1. 78±0. 23)分,(1. 61±0. 37)分比(1. 81±0. 33)分,(1. 68±0. 18)分比(1. 90±0. 23)分,(1. 67±0. 35)分比(1. 90±0. 30)分,(1. 52±0. 24)分比(1. 72±0. 20)分,(1. 61±0. 10)分比(1. 80±0. 08)分,P <0. 05)];干预组治疗后,复原力所有因子和总分得分显著高于治疗前(P <0. 05),心理健康所有因子和总均分得分显著低于治疗前(P <0. 01);对照组的复原力各因子及总分、心理健康各因子及总分在治疗前后比较差异无统计学意义(P> 0. 05)。结论接受团体心理辅导可显著提高精神分裂症家庭青少年子女的复原力和心理健康水平。

Objective To explore the effect of group psychological counseling on resilience and mental health of adolescent children with schizophrenia.Methods A total of 100 adolescent children with schizophrenia in Guilin Mental Health Center from Mach to September in 2014 were screened,and 60 were included in the study and assigned to a treatment group(30 cases)and a control group(30 cases)according random number method and received 12 structured group psychological counseling or non-structured gathering talk,then the results of resilience and mental health factors were compared.Results The scores of the treatment group were significantly higher than those of the control group on self-acceptance,emotional stability,supports from friends and family and the total resilience scale[(12.77±1.34)score vs(11.43±1.21)score,(24.77±1.45)score vs(22.73±1.35)score,(30.47±1.62)score vs(27.70±1.52)score,(18.47±0.98)score vs(17.72±1.32)score,(115.50±3.70)score vs(107.82±2.48)score,P<0.05];and on the scores of somatization,obsessiveness,interpersonal relationship,depression,anxiety,hostility,phobic,paranoid and the total scale were significantly lower than those of the control group[(1.50±0.21)score vs(1.63±0.20)score,(1.80±0.32)score vs(1.96±0.30)score,(1.67±0.41)score vs(1.91±0.44)score,(1.47±0.27)score vs(1.78±0.23)score,(1.61±0.37)score vs(1.81±0.33)score,(1.68±0.18)score vs(1.90±0.23)score,(1.67±0.35)score vs(1.90±0.30)score,(1.52±0.24)score vs(1.72±0.20)score,(1.61±0.10)score vs(1.80±0.08)score,P<0.05].After treatment,all of the resilience factors and the total scale of the treatment group were higher than before the treatment(P<0.05),and all of the mental health factors and the total scale were lower than before treatment(P<0.01);there were no significant differences in resilient factors and total scale and mental health factors and total scale in the control group before and after treatment(P >0.05).Conclusion The group psycholo-gical counseling can significantly improve the resilience and mental health of adolescent children with schizophrenia.