| 社交技能训练改善精神分裂症患者阴性症状 |
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| 引用本文： | 陶庆兰,邓红,张树森,沈峰,胡咏梅,张倬秋,申文武,邱昌建,耿婷,朱燕,刘善明,吴嘉,孙学礼.社交技能训练改善精神分裂症患者阴性症状[J].上海精神医学,2009,21(1). |
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| 作者姓名： | 陶庆兰 邓红 张树森 沈峰 胡咏梅 张倬秋 申文武 邱昌建 耿婷 朱燕 刘善明 吴嘉 孙学礼 |
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| 作者单位： | 四川大学华西医院心理卫生中心,610041 |
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| 基金项目： | 国家科技攻关计划临床医学项目 |
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| 摘 要： | 目的 探讨社交技能训练对精神分裂症患者阴性症状、情绪表达的影响.方法 将140例恢复期精神分裂症患者随机分为干预组(74例)和对照组(66例).对干预组进行小组式社交技能训练,于训练前及训练后12个月采用阴性症状量表(SANS)、Montgomery-Asberg抑郁量表(MADRS)评定.结果 在训练后12个月时干预组的SANS总分(35.5)低于对照组(39.0)(Z=-2.684,P<0.05),对照组12个月时N4评分大于入组时评分(Z=-3.652,P<0.05);在MADRS评分中,除内心紧张、自杀观念外,干预组的其余评分和总分低于对照组(Z总分=-4.125,Z2=-2.389,Z7=-2.290,Z8=-2.992,Z9=-2.350,P<0.05),对照组的入组时和12个月相比,总分差异无统计学意义(P>0.05).结论 在药物治疗的基础上,系统而规则的社交技能训练可改善精神分裂症患者的阴性症状,延缓或阻止其社交退缩的发生,促进患者的情绪表达.
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| 关 键 词： | 社交技能训练 精神分裂症 阴性症状 情绪表达 |
Effects of social skill training on the negative symptoms of schizophrenia |
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| Tao Qinglan,Deng Hong,Zhang Shusen,Shen Feng,Hu Yongmei,Zhang Zhuoqiu,Shen Wenwu,Qiu Changjian,Geng Ting,Zhu Yan,Liu Shanming,Wu Jia,Sun Xueli.Effects of social skill training on the negative symptoms of schizophrenia[J].Shanghai Archives of Psychiatry,2009,21(1). |
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| Authors: | Tao Qinglan Deng Hong Zhang Shusen Shen Feng Hu Yongmei Zhang Zhuoqiu Shen Wenwu Qiu Changjian Geng Ting Zhu Yan Liu Shanming Wu Jia Sun Xueli |
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| Institution: | Tao Qinglan,Deng Hong,Zhang Shusen,Shen Feng,Hu Yongmei,Zhang Zhuoqiu,Shen Wenwu,Qiu Changjian,Geng Ting,Zhu Yan,Liu Shanming,Wu Jia,Sun Xueli.Mental Health Center,West China University Hospital,Sichuan University,Chengdu 610041 |
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| Abstract: | Objective: To explore the effect of social skill training for negative symptoms and emotional expression in patients with schizophrenia.Methods: One hundred and forty patients with schizophrenia after episode were divided into intervention and control groups randomly.Systemic group social skill training was conducted for intervention group for 12 months.Scale for the assessment of negative symptoms(SANS) and the Montgomery Asberg depression rating scale(MADRS) were used for evaluation at the base line and e... |
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| Keywords: | Social skill training Schizophrenia Negative symptom Emotional expression |
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