认知行为干预对社区慢性精神分裂症患者康复疗效评估

目的 探讨认知行为干预对慢性精神分裂症患者的康复疗效.方法 将2009年1月-2009年12月间我院收治的精神分裂症患者80例随机分为研究组与对照组,每组40例;所有患者均给予足量、足疗程的抗精神病药物进行治疗,住院治疗3个月;研究组患者在药物治疗3周后增加认知行为治疗,持续12周,出院后持续随访1年,每月集中一次认知...

Effect of behavior intervention on rehabilitation of chronic schizophrenia patients in community

Objective To explore the effect of cognitive behavioral intervention on rehabilitation of chronic schizophrenia patients. Methods 80 patients wers randomly divided into study group and control group. All the patients received a full course of antipsychotic treatment. The study group received additional cognitive behavioral therapy 3 weeks after antipsychotic treatment for 12 weeks and was followed up for one year after release from hospital with monthly cognitive behavioral intervention. The patients were assessed using PANSS, MRSS, ITAQ, and SDSS and the rehabilitation status was compared between the two groups. Results Before treatment, the total scores on PANSS, MRSS, SDSS, and ITAQ in the study group were (43.1 ± 3.1), (78.2 ± 18.2), (9.4 ± 2.1), and (7.3 ± 1.0), respectively; and those in the control group were (45.3 ± 4.1), (80.3 ± 15.8), (10.2 ± 3.2), and (5.2 ± 1.1). No statistical significances were found (P＞0.05). One year after treatment, the total scores on PANSS, MRSS, SDSS, and ITAQ in the study group were (38.2 ± 2.1), (62.7 ± 19.3), (6.2 ± 2.3), and (15.4 ± 5.1), respectively; and those in the control group were (44.2 ± 2.7), (76.0 ± 20.6), (9.2 ± 3.2), and (13.2 ± 3.9). There were significant differences between the two groups (P＜0.05). Conclusions Cognitive behavioral intervention plays a role in rehabilitation of chronic schizophrenia patients.