团体心理治疗对慢性精神分裂症患者精神症状、情绪状态、睡眠及社会功能的影响

Effects of group psychotherapy on psychiatric symptoms,emotional state,sleep and social function in patients with chronic schizophrenia

目的探讨团体心理治疗对慢性精神分裂症患者的临床疗效。方法200例慢性精神分裂症患者按照随机数字表法分为试验组、对照组,每组100例,两组均予以单一的抗精神病药物治疗加常规护理,试验组在此基础上进行团体心理治疗。于干预前后采用阳性与阴性症状量表(PANSS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活满意度指数A(LSIA)、住院精神病人社会功能评定量表(SSPI)、阿森斯失眠量表(AIS)分别对两组进行测评。结果试验组干预前后PANSS、SDS、SAS、LISA、SSPI、AIS评分比较,差异有统计学意义(P<0.05)。对照组干预前后PANSS、SDS、SAS、LISA、SSPI、AIS评分比较,差异无统计学意义(P>0.05)。两组干预后PANSS、SDS、SAS、LISA、AIS评分比较,差异均有统计学意义(P<0.05)。结论团体心理治疗能改善慢性精神分裂症患者的阴性症状和焦虑抑郁情绪,提高睡眠治疗,提升社会功能及生活幸福指数。

Objective To explore the clinical effect of the group psychotherapy on the patients with chronic schizophrenia.Methods Two hundreds patients with chronic schizophrenia were divided into the experimental group and control group according to the random number table method,100 cases in each group.The both groups were given single antipsychotic drug treatment plus the routine nursing.The experimental group was given the group psychotherapy on this basis.The Positive and Negative Symptom Scale(PANSS),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Social Function Rating Scale(SSPI),Athens Insomnia Scale(AIS)and Life Satisfaction Index A(LSIA)were used to evaluate the two groups before and after the intervention.Results The differences of PANSS,SDS,SAS,LISA,SSPI and AIS scores before and after intervention in the experimental group were statistically significant(P<0.05).There was no statistically significant difference in PANSS,SDS,SAS,LISA,SSPI,AIS scores before and after intervention in the control group(P>0.05).There were statistically significant differences in PANSS,SDS,SAS,LISA and AIS scores between the two groups after intervention(P<0.05).Conclusion The group psychotherapy can improve the negative symptoms and emotions of anxiety and depression in the patients with chronic schizophrenia,increase the sleep therapy,and elevate the index of social function and life happiness.