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| 规范化认知行为治疗对社区残留型精神分裂症患者生活质量和社会功能的影响 | |
| 引用本文： | 王志强,郭志华,王军,闫桂霞,憨广伶,李占江.规范化认知行为治疗对社区残留型精神分裂症患者生活质量和社会功能的影响[J].神经疾病与精神卫生,2014,14(5):494-496. |
| 作者姓名： | 王志强 郭志华 王军 闫桂霞 憨广伶 李占江 |
| 作者单位： | 1. 100022,清华大学附属北京市垂杨柳医院 2. 首都医科大学附属北京安定医院 3. 北京市东城区体育馆路社区卫生服务中心 |
| 基金项目： | 首都医学科研发展基金(专项)联合攻关项目 |
| 摘 要： | 目的 探讨规范化的认知行为治疗（CBT）对社区慢性残留型精神分裂症患者的生活质量及其社会功能的改善作用.方法 于2011年6月～2012年1月将北京市原崇文区的社区慢性残留型精神分裂症患者32例按随机数字表分为CBT组和对照组,CBT组给予常规治疗联合规范化的认知行为治疗,对照组仅给予常规治疗,均干预3个月,比较两组患者的生活质量和社会功能变化.结果 12周时CBT组的心理因子、社会功能评分显著高于对照组（t分别为2.229,3.024; P＜0.05）;38周时CBT组的生活质量总分、心理因子和社会功能评分显著高于对照组（t分别为2.072,2.706,2.818;P＜0.05）;64周时CBT组的生活质量总分、生理因子、心理因子及社会功能评分均显著高于对照组（t分别为2.208,2.055,2.647,4.109; P＜0.05）.结论 规范化的认知行为治疗可能显著改善社区慢性残留型精神分裂症患者的生活质量和社会功能,但由于样本量小等因素尚需在社区中进一步研究与推广应用. |
| 关 键 词： | 精神分裂症 认知行为治疗 生活质量 社会功能 |
Cognitive behavioral therapy effects on life quality and social function of residual patients with schizophrenia in community |
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| Institution: | WANG Zhi-qiang , GUO Zhi-hua , WANG Jun ,et al( Beijing Chuiyangliu Hospital Affiliated to Tsinghua University, Beijing 100022, China) |
| Abstract: | Objective To investigate the effects of cognitive behavioral therapy（CBT） on improving life quality of and social function in community of residual schizophrenic patients. Methods Thirty-two community residual schizophrenic patients in Chongwen District recruited from June 2011 to January 2012 were randomly divided into CBT group and control group. CBT group received treatment as usual combined with cognitive behavioral therapy, while control group received only treatment as usual. Both interventions lasted 3 months. The outcomes were measured with World Health Organization Quality of Life-Brief and Personal and Social Performance Scale. Results The scores of psychological factor and social function at 12 weeks in CBT group were significantly higher than that in the control group （t = 2. 229, 3. 024,respectively; P 〈0.05）. The scores of life quality, psychological factor and social functioning at 38 weeks were significantly higher than that in the control group （t = 2. 072, 2. 706,2. 818, respectively; P 〈0.05）. The scores of life quality, physiological factor, psychological factor and social functioning at 64 weeks were significantly higher than that in the control group （t = 2. 208, 2. 005,2. 647,4. 109, respectively; P 〈 0.05）. Conclusions Cognitive behavioral therapy may significantly improve the life quality and social functioning of residual schizophrenic patients in community, but this need further study and application. |
| Keywords: | Schizophrenia Cognitive behavioral therapy Life quality Social function |
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