精神分裂症患者发病情景摄像回放式认知治疗效果评价

目的 探讨精神分裂症患者发病情景摄像回放式认知治疗临床效果,为临床干预提供依据. 方法 将102例精神分裂症患者随机分为实验组与对照组各51例,在治疗过程中实验组脱落12例,对照组脱落7例.两组患者均接受常规抗精神病药物治疗与一般支持性心理治疗;实验组在此基础上对患者入院初期至缓解期（入院2周内）的典型发病状况进行录像,于第3周起对患者进行发病情景录像回放辅助认知治疗.观察8周.于治疗前及治疗6周、8周末采用简明精神病量表评定临床疗效. 结果 治疗后两组简明精神病量表总分及各因子分均较治疗前显著下降（P＜0.05或0.01）;同期两组间比较,治疗前两组简明精神病量表总分及各因子分均无显著性差异（P＞0.05）,治疗后实验组均显著低于对照组（P＜0.05或0.01）. 结论 发病情景摄像回放式认知治疗能显著提高患者识别症状的能力、改善自知力,提高治疗依从性,显著提高临床疗效.

Treatment effectiveness evaluation of morbidity scene photography play-back cognitive therapy for schizophrenics

Objective To esplore the clinical efficacy of morbidity scene photography play-back cognitive therapy （MSPPCT） for schizophrenics in order to provide basis for clinical intervention. Methods 102 schizophrenics were randomly assigned to experimental and control group （each n = 51）, 12 patients dropped out in the former and 7 ones did in the latter during treatment. Both groups received routine antipsychotic treatment and general supportive psychotherapy; the typical incidence status the experimental group was recorded from the initial stage of admission to remission stage （within first 2 weeks of admission）, morbidity scene photography play-back cognitive therapy was given to them since the 3rd week, observed for 8 weeks. Clinical efficacies were assessed with the Brief Psychiatric Rating Scale （BPRS） before treatment and at the end of the 6th and 8th week. Results After treatment, the total and each factor score of the BPRS of both groups lowered more significantly compared with pretreatment （P〈0.05 or 0.01） ; contemporary group comparison showed that there were no significant differences in the total and each factor score before treatment （P〉0.05） and those significantly lower in the experimental than in the control group after treatment （P〈0.05 or 0.01）. Conclusion MSPPCT can raise the patients＇ ability of recognizing symptoms notably, improve insight, raise treatment compliance and improve clinical efficacy notably.