社会认知交互训练在精神分裂症住院患者康复中的应用

The effect of social cognition and interaction training on rehabilitation of schizophrenic in-patients

目的:探讨社会认知交互训练(SCIT)在精神分裂症住院患者康复期的应用价值。方法:118例精神分裂症患者随机分为SCIT组(58例)和对照组(60例),SCIT组接受为期9周,每周2次的SCIT干预和抗精神病药物治疗,对照组仅接受抗精神病药物治疗。比较2组在干预后的社会认知能力,包括阳性和阴性症状量表(PANSS)总分、阳性症状、阴性症状、责备偏向总分(TBB)、暗示任务及住院精神患者社会功能评定量表(SSPI)。结果:干预后SCIT组与对照组比较,PANSS得分均有显著改善,社会功能亦有改善。而与自身干预前比较,SCIT组精神症状(t=7.163,P<0.01)、阳性症状(t=19.154,P<0.01)、阴性症状(t=4.601,P<0.01)及社会功能(t=-8.990,P<0.01)均有显著改善。结论:SCIT有利于精神分裂症住院患者的康复。

Objective:To explore how Social Cognition and Interaction Training acts on schizophrenic inpatients during rehabilitation.Methods:Fifty-eight out of 118 recruited schizophrenic patients received SCIT and antipsychotic therapy twice a week for nine weeks(SCIT group),while the rest received only antipsychotic therapy as the control group.Comparisons were made between the two groups in their social cognitive ability,including the total scores of Positive and Negative Syndrome Scale(PANSS),positive symptoms,negative symptoms,total Blame Bias(TBB),cue task and Social Disability Screening Schedule(SSPI)were compared in the dry prognosis.Results:Compared with the control group,the results showed positive symptoms have been significantly improved and social function improved with the trend level in the SCIT group after intervention.Mental symptoms(t=7.163,P<0.01),positive symptoms(t=19.154,P<0.01),negative symptoms(t=4.601,P<0.01)and social function(t=-8.990,P<0.01)have all significantly improved after intervention,compared with the results before intervention.Conclusion:SCIT is conducive to the rehabilitation of schizophrenic inpatients.