小组认知行为治疗对慢性精神分裂症患者认知功能的影响

目的：探讨小组认知行为治疗对慢性精神分裂症患者认知功能的影响。方法：将80例慢性精神分裂症患者随机分为两组，均服用抗精神病药维持治疗，干预组使用药物治疗的同时合并小组认知行为治疗，对照组单纯使用药物治疗。观察疗程为12个月，于入组时，6个月后及12个月后采用阳性与阴性阴性症状量表（PANSS）评定患者的临床疗效，同时给与威斯康星卡片分类测验（WCST）和Halstead—Retain神经心理成套测验（HRB-RC）中的连线测验A和B（TMT—AandTMT—B）评定患者的认知功能。结果：干预组各项认知功能指标均较对照组有不同程度的改善（P〈0．05或P〈0．01）。结论：小组认知行为治疗能有效改善慢性精神分裂症患者的认知功能。

Group cognitive-behavioural therapy on cognitive function in the treatment of chronic schizophrenia

Objective：To explore the effects of group cognitive-behavioural therapy（GCBT） on cognitive function in the treatment of chronic schizophrenia.Methods：80 patients with chronic schizophrenia were divided randomly into intervention group and control group.Patients in intervention group were treatment by antipsychotics with Group cognitive-behavioural therapy ,while antipsychotics only for patients in control group for 12 months.Clinical efficacy was evaluated by Positive and Negative Symptoms Scale （PANSS） before and after treatments 6,12 month.Cognitive function was assassed by Wisconsion Card Sorting Test （WCST） and Trail Making test A and B before and after treatments 6,12 month . Results： There was no significant difference in total score of PANSS between intervention group and control group （P 均 〉 0.05）.Patients in intervention group had better performance in cognitive function compared with patients in control group （P 〈 0.05 或 P 〈 0.01 ）.Conclusion： Group cogni- tive-behavioural therapy can improve congitive function of chronic schizophrenia.