鼓圈治疗对精神分裂症康复期患者阴性症状和社会功能的影响

Effects of drum circle therapy on negative symptoms and social function in patients with residual schizophrenia

目的:探讨鼓圈治疗对精神分裂症康复期患者阴性症状和社会功能的影响。方法:选取住院精神分裂症康复期患者72例(按国际疾病分类第十版ICD-10诊断标准)服用非典型抗精神病药物,病史在3年及以上的住院患者,随机分为两组,36例作为研究组,在非典型抗精神病药物治疗及常规护理的基础上给予鼓圈治疗(每周两次,每次40～50分钟,共12周),36例作为对照组,给予非典型抗精神病药物治疗及常规护理。采用阳性与阴性症状量表(PANSS)和住院精神病人社会功能评定量表(SSFPI)于疗前、疗后6周、12周分别进行评定。结果:①治疗后6周两组患者的阴性量表分(t=2.439,P=0.017)、PANSS总分(t=2.331,P=0.023)差异有统计学意义。治疗后12周两组阳性量表分(t=2.616,P=0.011)、阴性量表分(t=8.386,P<0.001)、一般精神病理评分(t=5.685,P<0.001)、PANSS总分(t=7.431,P<0.001)差异均有统计学意义;治疗后6周两组患者SSFPI总分(t=4.298,P<0.001)、因子Ⅱ评分(t=2.083,P=0.041)、因子Ⅲ评分(t=3.966,P<0.001)差异有统计学意义。治疗后12周两组患者SSFPI总分(t=5.889,P<0.001)、因子Ⅱ评分(t=4.523,P<0.001)、因子Ⅲ评分(t=2.427,P=0.018)差异均有统计学意义。结论:相比单纯使用抗精神病药物治疗及护理的患者,给予鼓圈治疗能更为有效地改善精神分裂症康复期患者的阴性症状和社会功能。

Objective:To investigate the effect of drum circle therapy on negative symptoms and social function in patients with residual schizophrenia.Methods:A total of 72 inpatients with residual schizophrenia were selected.All patients had a history of more than 3 years and were treated with regular antipsychotic drugs.They were randomly divided into a study group(36 patients)and a control group(36 patients).The patients in study group were treated with drum circle therapy.The positive and negative syndrome scale(PANSS)and The Scale of Social function of Psychosis Inpatients(SSFPI)were evaluated before and after treatment.Results:①After 6 weeks of treatment,there was significant difference between the two groups in the negative scale and the PANSS total score(t=2.439,2.331;P<0.05).After 12 weeks of treatment,two groups of patients’positive scale,negative scale,general mental pathology score,PANSS total score difference were statistically significant(t=2.616,8.386,5.685,7.431;P<0.05).②The scores of SSFPI,factor II and factor III in the two groups were statistically significant after 6 weeks of treatment.(t=4.298,2.083,3.966;P<0.05)The scores of SSFPI,factor I,factor II and factor III were significantly different between the two groups after 12 weeks of treatment(t=5.889,4.523,2.427;P<0.05).Conclusion:Using of drum circle therapy is more effective in improving negative symptoms and social function in patients with residual schizophrenia than in patients treated with antipsychotic drugs alone.