认知行为治疗对慢性精神分裂症患者生活质量和自我效能感的影响

目的 探讨认知行为治疗（CBT）对慢性精神分裂症患者疗效的影响.方法 将104例慢性精神分裂症患者随机分为研究组52例和对照组52例.对照组进行常规的药物治疗,研究组在药物治疗基础上施行CBT,疗程均为6个月.干预前后采用精神分裂症患者生活质量量表（SQLS）、一般自我效能感量表（GSES）比较两组的治疗效果.结果 干预后研究组患者SQLS总分及心理社会、动力/精力、症状/副反应分量表评分均较干预前显著下降（P＜0.01）.干预后研究组上述量表评分低于对照组（P＜0.01）.研究组干预后GSES评分较干预前显著升高（P＜0.01）;干预后研究组GSES评分显著高于对照组（P＜0.01）.结论 CBT结合药物治疗能有效改善慢性精神分裂症患者的自我效能感,提高生活质量.

Effect of cognitive behavior therapy on quality of life and self-efficacy in patients with chronic schizophrenia

Objective To explore the efficacy of cognitive behavior therapy （CBT） on patients with chronic schizophrenia. Methods A total of 104 patients with chronic schizophrenia were randomly divided into study group （ n = 52 ） treated with routine medications combined with CBT for 6 months and control group （ n = 52） treated with routine medications for 6 months. All patients were assessed with Schizophrenia Quality of Life Scale （SQLS） and General Self-Efficacy Scale （GSES） at baseline and at the end of the 6-month treatment. Results Total score of SQLS and factor scores of psyehosocial, energy/motivation, symptoms/side effects in SQLS in study group decreased significantly at the endpoint when compared with the baseline （ P 〈 0.01 ）, and were significantly lower than those in control group at the end of the treatment （P 〈 0. 01 ）. Compared with the baseline, score of GSES at endpoint in study group increased significantly （P 〈 0. 01 ）, and was significantly higher than that ila control group at the end of the treatment （ P 〈 0. 01 ）. Conclusion CBT combined with medication therapy is helpful for patients with chronic schizophrenia in improving their self-efficacy and quality of life.