情感表达对农村社区精神分裂症患者预后的影响

目的探讨情感表达对农村社区精神分裂症患者预后的影响。方法将符合入组标准的300例农村社区精神分裂症患者分为研究组和对照组(每组各150例)。两组均服小剂量抗精神病药(折合氯丙嗪剂量<300mg/d),其中研究组同时接受家庭成员的情感表达干预;于入组时和随访时每年评定1次坎伯威家庭问卷(CFI)中文版(CFICV)、简明精神病评定量表(BPRS)、疾病严重程度量表(SI)、疾病总体进步量表(GI),连续3年共评定4次。结果(1)入组时研究组和对照组相比,CFICV、BPRS、SI、GI评分的差异均无显著性(P>0.05)。(2)干预1～3年时,研究组家属的批评、敌对和情感参与等因子分低于对照组(P<0.01～0.05),热情性、赞扬性等因子分高于对照组(P<0.01～0.05)。(3)干预1～3年时,研究组BPRS、SI、GI评分均低于对照组,差异均有显著性(P<0.01)。结论对农村社区精神分裂症患者家庭成员情感表达方式的干预,能有效降低患者的复发率。

Effects of emotion express intervention on prognosis in rural schizophrenia

ObjectiveTo explore the effects of emotion express intervention on prognosis in rural schizophrenia.Methods In this 3-year follow-up study,300 schizophrenics receiving chlorpromazine equivalent daily dose of 300mg were involved in the study,and were randomly divided into study group and control group.The study group was additionally combined with emotion express intervention.All subjects were evaluated using the Camberwell Family Interview,Brief Psychiatric Rating Scale and Clinical Impressions Scal every 1 year in the 3-year follow-up study.Results At the end of the study,the patients in the study group showed milder illness severity,poorer emotion express of the main guardian and lower relapse rate in comparison with controls.ConclusionThe emotion express intervention is effective and feasible in community rehabilitation of rural schizophrenia.