情绪释放疗法对精神分裂症患者自我感受负担、心理状态及生活质量的影响

Effects of emotional release therapy on self-perceived burden,mental state and quality of life in patients with schizophrenia

目的:探讨情绪释放疗法用于治疗精神分裂症患者后对自我感受负担、心理状态、生活质量的效果。方法:选取某院2017年1月-2018年1月收治的精神分裂症患者45例作为对照组,进行常规干预;2018年2月-2019年1月收治的精神分裂症患者45例作为观察组,在对照组的基础上采取情绪释放疗法干预,两组患者均为期治疗2个月。比较两组患者自我感受负担量表(Self-Perceived Burden,SPBS)评分、抑郁自评量表(Self-rating depression scale,SDS)评分、焦虑自评量表(Self-Rating Anxiety Scale,SAS)、社交回避及苦恼量表(Social Avoidance and Distress Scale,SADS)评分、简明健康调查量表(the MOS item short from health survey,SF-36)中8个维度[社会功能(Social Function,SF)、情感职能(Roleemotional,RE)、生理机能(Physical Func tion,PF)、躯体疼痛(Bodily Pain,BP)、活力(Vitality,VT)、精神健康(Mental Health,MH)、生理职能(Rolephysical,RP)、总体健康(General Health,GH)]评分。结果:治疗后,观察组的SPBS评分明显低于对照组(t=-5.351,P<0.001),观察组SDS评分明显低于对照组(t=-2.671,P=0.009),观察组SAS评分明显低于对照组(t=-3.333,P=0.001),观察组SADS评分低于对照组(t=-3.429,P<0.001),观察组SF-36量表8个维度评分明显高于对照组[SF(t=2.223,P=0.029)、RE(t=4.015,P<0.001)、PF(t=2.556,P=0.012)、BP(t=2.852,P=0.005)、VT(t=2.468,P=0.016)、MH(t=3.154,P=0.002)、RP(t=4.578,P<0.001)、GH(t=2.455,P=0.016)]。结论:情绪释放疗法能有效地降低精神分裂症患者的自我感受负担,改善其心理状态和生活质量。

Objective:To explore the effect of emotion release therapy on self-feeling burden,mental state and quality of life in patients with schizophrenia.Methods:A total of 45 patients with schizophrenia treated in our hospital from January 2017 to January 2018 were selected as the control group,and 45 patients with schizophrenia treated in our hospital from February 2018 to January 2019 were selected as the observation group.Emotional release therapy was used on the basis of the control group,and the patients in both groups were treated for 2 months.The scores of self-perceived burden scale(SPBS),self-rating depression scale(SDS),self-rating anxiety scale(SAS),social avoidance and annoyance scale(SADS),and concise health survey scale(the MOS item short from health survey,SF-36)and 8 dimensionscore[social function(SF),role-emotional function(RE),physiological function(PF),body pain(BP),vitality(VT),mental health(MH),role-physical function(RP),general health(GH)]were compared between the two groups.Results:After treatment,the SPBS score of the observation group was significantly lower than that of the control group(t=-5.351,P<0.001);the SDS score of the observation group was significantly lower than that of the control group(t=-2.671,P<0.01);the SAS score of the observation group was significantly lower than that of the control group(t=-3.333,P<0.001),and the SADS score of the observation group was lower than that of the control group(t=-3.429,P<0.001).The scores of 8 dimensions of SF-36 scale in the observation group were significantly higher than those in the control group(t=2.223,4.015,2.556,2.852,2.468,3.154,4.578,2.455;P<0.05).Conclusion:The emotion release therapy can effectively reduce the self-feeling burden and improve the mental state and quality of life of patients with schizophrenia.