团体复原力干预对神经症患者生物-心理-社会功能效果研究

Effects of group resilience intervention on bio-psycho-social function in patients with neurosis

目的探讨团体复原力干预对神经症患者生物、心理、社会功能的作用效果。方法选取15例神经症患者,其中干预组7例,对照组8例,对干预组神经症患者实施为期8周团体复原力干预,对照组不做任何处理。于干预前、后及干预结束3个月后进行血压、心率、唾液皮质醇的检测,亚洲复原力量表、住院精神病人社会功能评定量表(SSPI)的评定。结果干预后及干预结束3个月后干预组复原力、SSPI评分及皮质醇水平均较干预前升高(P<0.05),心率较干预前下降(P<0.05)。干预后及干预结束3个月后干预组复原力、SSPI评分及皮质醇水平均高于对照组(P<0.01)。结论团体复原力干预是有效的,可显著提高神经症患者的复原力水平,有效促进社会功能的恢复,调节皮质醇水平,降低心率,稳定血压。

Objective To explore the effects of group resilience intervention on bio-psycho-social function in patients with neurosis.Methods A total of 15 patients with neurosis were selected and divided into intervention group(7 cases)treated with group resilience intervention and control group(8 cases)without treatment.They were assessed with blood pressure,heart rate,salivary cortisol level,Asian Resilience Scale(ARS),Scale of Social Function in Psychosis Inpatients(SSPI)before and after treatment,as well as 3 months later after treatment.Results At the end of treatment and 3 months later after treatment,the total scores of ARS and SSPI as well as cortisol level in intervention group increased significantly(P<0.05)and the heart rate decreased significantly(P<0.05)compared with those before treatment.At the end of treatment and 3 months later after treatment,the total scores of ARS and SSPI as well as cortisol level in intervention group were significantly higher than those in control group(P<0.01).Conclusion The group resilience intervention is effective in improving resilience and social function recovery in patients with neurosis,regulating cortisol level,reducing heart rate and stabilizing blood pressure.