团体心理剧技术在慢性精神分裂症患者康复中的应用

Psychodrama group therapy for rehabilitation in chronic schizophrenia patients

目的:探讨团体心理剧技术在慢性精神分裂症患者康复中的作用。方法:将60例男性慢性精神分裂症患者随机分为研究组与对照组。对照组给予常规精神科治疗,研究组在此基础上增加团体心理剧技术干预,治疗3个月。在干预前后采用焦虑自评量表(Self-Rating Anxiety Scale,SAS),抑郁自评量表(Self-Rating Depression Scale,SDS),个人和社会功能量表(Personal Performance Scale,PSP),自知力评定量表(Scale of Assess Unawareness of Mental Disorder,SAUMD)进行评估。结果:经过12周的团体心理剧干预,重复测量的方差分析显示治疗因素对SDS和PSP总分均存在主效应(F=10.56,4.77;P<0.001),对SAS总分无明显主效应;在SAUMD各因子中,治疗因素对目前症状认知和过去症状认知两个因子存在主效应(F=7.54,4.56;P<0.05),对归因两因子无明显主效应。结论:团体心理剧技术在一定程度上能缓解精神分裂症患者的抑郁情绪,改善个人和社会功能,提高患者对自身目前症状及过去症状的认知程度,促进其更好地回归社会。

Objective:To explore the effects of psychodrama group therapy for patients with chronic schizophrenia.Methods:A total of 60 male patients with chronic schizophrenia were randomly divided into groups study and control.Based on original antipsychotic agents,the control group was given usual entertainment therapy and health education,and the study group was added with psychodrama group therapy,3 months as a course.All patients were assessed by SAS,SDS,PSP and SAUMD before and after intervention.Results:After 12 weeks of intervention,the repeated survey variance analysis showed that the therapeutic factors had main effect on SDS and PSP total scores(F=10.56,4.77;P<0.001),but no significant main effect on SAS score.Among the factors of SAUMD,the main effect of therapeutic factors on current symptom cognition and past symptom cognition was found(F=7.54,4.56;P<0.05),while no significant main effect on attribution factors.Conclusion:Psychodrama group therapy can effectively relieve the symptoms of anxiety and depression,improve social functions and insight,and promote a better return to society in patients with schizophrenia.