绘画艺术干预联合社交技能训练在精神分裂症患者中的应用效果

Effect of combined art therapy and social skills training in patients with schizophrenia

目的探讨绘画艺术干预联合社交技能训练对精神分裂症患者自我效能、病耻感和社会功能的影响。方法选取110例精神分裂症患者为研究对象,并随机分为对照组(n=55)和观察组(n=55)。对照组患者实施社交技能训练,观察组患者实施绘画艺术干预联合社交技能训练,2组均干预3个月。比较2组干预前后的自我效能[一般自我效能感量表(GSES)]、病耻感水平[中文版-精神疾病患者病耻感量表(SSMI-C)]、服药依从性[药物依从性评定量表(MARS)]、临床精神症状[阳性与阴性症状量表(PANSS)]及社会功能[社会功能评定量表(SSPI)]。结果干预后,2组GSES评分、MARS评分和SSPI总分及其各维度评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,2组SSMI-C总分及其各维度评分、PANSS总分及其各维度评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论绘画艺术干预联合社交技能训练可提升精神分裂症患者的自我效能和服药依从性,可有效降低其病耻感,进而改善其临床症状和社会功能。

Objective To investigate the effects of combined intervention of art therapy and social skills training on self-efficacy,stigma,and social functioning in patients with schizophrenia.Methods A total of 110 patients with schizophrenia were recruited,and randomly assigned to control group(n=55)and observation group(n=55).The control group received social skills training,while the observation group received a combined intervention of art therapy and social skills training.Both groups underwent 3-month intervention.The self-efficacy[General Self-Efficacy Scale(GSES)],stigma levels[Chinese Version of the Stigma Scale for Mental Illness(SSMI-C)],medication adherence[Medication Adherence Rating Scale(MARS)],clinical psychiatric symptoms[Positive and Negative Syndrome Scale(PANSS)]and social functioning[Social Functioning Scale(SSPI)]were compared between the two groups before and after the intervention.Results After the intervention,the GSES scores,MARS scores and total SSPI scores as well as their item scores were significantly higher in both groups compared to pre-intervention,with the observation group showing significantly higher scores than the control group(P<0.05).After the intervention,the total SSMI-C score and their item scores,as well as the total PANSS score and their item scores were significantly lower in both groups compared to pre-intervention,with the observation group showing significantly lower scores than the control group(P<0.05).Conclusion The combined intervention of art therapy and social skills training enhances self-efficacy and medication adherence in patients with schizophrenia,effectively reduces stigma,and improves clinical symptoms and social functioning.