家庭干预对首发精神分裂症患者康复的影响

目的探讨家庭干预对首发精神分裂症患者康复的作用。方法将90例首发期精神分裂症患者随机分为研究组和对照组各45例。对照组进行药物干预,研究组在药物干预的基础上进行家庭干预。所有患者均评定简明精神病量表(BPRS)、社会功能缺陷筛选量表(SDSS)和自知力与治疗态度问卷(ITAQ),并评定康复效果。结果 9个月后,研究组BPRS评分低于对照组(t=2.74,3.85;P0.01);6个月后,研究组SDSS评分和ITAQ评分均低于对照组(t=2.87,4.89,5.31,2.77,6.31;P0.01);12个月后,总有效率研究组高于对照组(χ2=3.91,P0.05)。结论家庭干预可以显著改善首发精神分裂症患者的社会功能和康复效果,延缓其社会功能衰退。

The Effect of Family Intervention on the Rehabilitation of Patients with First - episode Schizophrenia

Objective To explore the effect of family intervention on the rehabilitation of patients with first -episode schizophrenia . Methods 90patientswithfirst-episodeschizophreniawererandomlydividedintostudygroup（45cases,treatedwithdrugtherapyplus family intervention） and control group（45cases,treated with drug therapy）for 12 months.All patients were assessed with Brief Psychiat-ric Rating Scale（BPRS）,Social Disability Screening Schedule （SDSS）and Insight Treatment Attitude Questionnaire （ITAQ）.Results After 9-months intervention,scores of BPRS in study group were significantly lower than those in control group （（t=2.74,3.85;P＜0.01）;After 6-months intervention,scores of SDSS and ITAQ in study group were significantly lower than those in control group （t=2.87,4.89,5.31,2.77,6.31;P＜0.01）;After 12-months intervention ,the total effective rate in study group was significantly higher than that in control group （χ2 =3.91,P＜0.05）.Conclusion Family intervention is beneficial for patients with first -episode schizo-phrenia in improving their social function and rehabilitation outcome .