绘画心理技术训练辅助抗精神病药物对精神分裂症康复期患者恢复效果的影响

Effect of painting psychology training assisted with antipsychotics on recovery effects of patients with schizophrenia during convalescence

目的探讨绘画心理技术训练辅助抗精神病药物对精神分裂症康复期患者恢复效果的影响。方法将2018年9月至2019年8月开滦精神卫生中心收治的160例精神分裂症康复期患者随机分为绘画组和对照组,每组各80例,对照组患者予以抗精神病药物治疗,绘画组予以绘画心理技术训练辅助抗精神病药物治疗,治疗12周,比较两组患者治疗前后精神症状、认知功能以及智力与行为状况的变化情况。结果治疗后,绘画组患者阳性和阴性症状量表(PANSS)阴性症状评分、一般精神病理症状评分、PANSS总分明显低于对照组(P<0.05),两组患者PANSS阳性症状评分差异无统计学意义(P>0.05);绘画组患者威斯康星卡片分类测试(WCST)量表持续性应答数、持续性错误数、完成分类数、正确应答数、概念化水平应答百分数评分明显优于对照组(P<0.05);绘画组患者简易精神状态检查评分(MMSE)评分明显高于对照组(P<0.05),住院患者护士观察量表(NOISE-30)积极因素个人整洁、社会兴趣、社会能力以及消极因素抑郁、迟缓、激惹、精神病表现评分明显优于对照组(P<0.05)。结论绘画心理技术训练辅助抗精神病药物可明显改善精神分裂症康复期患者阴性症状,增强患者认知功能,促进患者智力与行为恢复。

Objective To explore the effects of painting psychology training assisted with antipsychotics on recovery effects of patients with schizophrenia during convalescence.Methods A total of 160 patients with schizophrenia in Kailuan Mental Health Center from September 2018 to August 2019 during convalescence were randomly divided into painting group and control group,with 80 cases in each group.The control group was treated with antipsychotics,and painting group was given painting psychology training assisted with antipsychotics.At 12 weeks of treatment,the changes of mental symptoms,cognitive function,and intelligence and behaviors were compared between the two groups.Results After treatment,the positive and negative syndrome scale(PANSS)negative symptom score,general psychopathological symptom score and PANSS total score in painting group were significantly lower than those in control group(P<0.05),and there was no significant difference in PANSS positive symptom score between the two groups(P>0.05).The scores of number of persistent responses,number of persistent errors,number of completed classifications,number of correct responses,percentage of conceptual level responses of Wsiconsin card sorting test(WCST)scale were significantly better than those in control group(P<0.05).The mini-mental state examination(MMSE)score in painting group was significantly higher than that in control group(P<0.05),and the scores of positive factors of personal cleanliness,social interest and social ability and negative factors of depression,delay,irritability and psychiatric performance of nurse observation scale for inpatient evaluation(NOISE-30)scale were significantly better than those in control group(P<0.05).Conclusions Painting psychology training assisted with antipsychotics can significantly improve the negative symptoms of patients with schizophrenia during convalescence,enhance cognitive function,and promote the recovery of intelligence and behaviors of patients.