阅读疗法联合改良森田疗法对住院恢复期精神分裂症患者的康复疗效

Rehabilitation of hospitalized convalescent schizophrenic patients with reading therapy combined withmodified Morita therapy

目的 分析改良森田疗法联合阅读疗法对住院恢复期精神分裂症患者的临床疗效.方法 采用便利抽样选取2021年12月~2022年10月在开滦精神卫生中心住院的恢复期精神分裂症患者60例,根据随机数字表法分为研究组和对照组,每组30例.对照组接受改良森田疗法,研究组接受阅读疗法联合改良森田疗法,均干预8周.使用阳性和阴性症状量表(PANSS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评估疗效.结果 (1)两组干预前各项评分差异均无统计学意义(P>0.05);(2)干预8周后两组PANSS总分、阴性分、一般精神病理分在组间、时间、组间*时间的交互作用显著(两组总分:F组间=18.301、F时间=294.167、F组间*时间=111.276,P均<0.001;两组阴性分:F组间=12.252,P<0.05、F时间=262.106,P<0.001、F组间*时间=79.094,P<0.001;两组一般精神病理分:F组间=18.301、F时间=67.703、F组间*时间=176.405,P均<0.001);(3)干预8周后两组SAS、SDS评分均在时间的交互作用显著(F时间=69.935,P<0.001),SDS评分在干预第8周末,研究组评分低于对照组,差异有统计学意义(P<0.05),两组SAS评分在干预前后差异无统计学意义(P>0.05).结论 改良森田疗法联合阅读疗法能有效改善恢复期精神分裂症患者的治疗效果,缓解患者抑郁情绪.

Objective To investigate the clinical efficacy of modified Morita therapy combined with reading ther-apy in the treatment of schizophrenia in the convalescent period.Methods 60 schizophrenic patients who recovered in Kailuan Mental Health Center from December 2021 to October 2022 were randomly divided into study group and control group.The control group was treated with Morita improved therapy,and the study group was treated with reading meth-od and Morita combined therapy for 8 weeks.Positive and negative symptom scale(PANSS),self rating anxiety scale(SAS)and self rating depression scale(SDS)were used to evaluate the efficacy.Results s(1)There was no signifi-cant difference between the two groups before operation(P>0.05).(2)After 8 weeks,there was a significant group,time and group*time interaction between the total components,negative components,general psychopathological components and time components of PANSS in the two groups(total components of the two groups:F group=18.301,F time=294.167,F group*time=111.276,P/span>;negative components of the two groups:F group=12.252,P/span>,F time=262.106,P/span>,F group*time=79.094,P/span>;general psychopathological components of the two groups:F group=18.301,F time=67.703,F group*time=176.405,P<0.001).After 8 weeks,there was a significant time interaction of SAS and SDS in the two groups(F time=69.935,P<0.001).After intervention,the study group scored lower than the control group with a statistically significant difference(P<0.05),and there was no statisti-cally significant difference in the SAS score between the two groups before and after the intervention(P>0.05).Conclusion Modified Morita therapy and reading therapy can effectively improve the curative effect of schizophrenia patients in rehabilitation period,and reduce their depression.