心理社会干预对精神分裂症康复的影响

目的探讨心理社会及家庭干预对精神分裂症康复的影响.方法将160例出院精神分裂症患者随机分成干预组（80例）和对照组（80例）.干预组在接受药物维持治疗的同时,接受系统的集体及个别心理、社会、家庭干预;对照组仅接受药物维持治疗.在研究开始后的3个月、1年、2年末,对两组患者分别进行社会功能评定量表（DAS）、阳性和阴性症状量表（PANSS）评分,研究结束时统计两组的复发例数.结果两组DAS和PANSS评分3个月时无显著性差异,1年末时有显著性差异（P＜0.05）,2年末有非常显著性差异（P＜0.01）.2年内复发例数,干预组12例,对照组34例,有非常显著性差异（P＜0.01）.结论心理社会及家庭干预对精神分裂症患者精神症状的好转、社会功能的恢复和复发率的降低具有显著效果.

Effect of Psych-Social Intervention on the Rehabilitation of Schizophrenia

ObjectiveTo investigate the effect of psych-social intervention on the recovery from schizophrenia.Methods160 cases schizophrenia patients leaved hospital were divided into intervention group (80 cases) and control group (80 cases). Meanwhile maintenance drug therapy, intervention group accept systemic psych-social and family intervention. The control group accept maintenance drug therapy only. At the end of initiation 3 month, 1 and 2 years, the patients were evaluated with Disability Assessment Schedule (DAS) and Positive and Negative Syndrome Scale (PNASS). The number of cases relapsed were counted in both groups. ResultsThe difference of the score of DAS and PANSS between two groups was not significant in 3 month, and became significant at the end of 1 year (P<0.05), very significant at the end of 2 years (P<0.01). The relapsed cases within two years were 12 cases in intervention group and 34 cases in control group (P<0.01).ConclusionPsych-social and family intervention is significantly effective on the improvement of psychiatric symptom, recovery of society function and degrade of relapse rate of patients with schizophrenia.