摘要
目的:探讨模拟家庭环境住院治疗对首发精神分裂症患者的康复效果。方法:将92例首发精神分裂症患者随机分为家庭化组和对照组各46例,均以氯氮平治疗,家庭化组采用模拟家庭环境住院治疗,对照组采用封闭式住院治疗。疗程8周。分别于治疗前及治疗8周进行阳性与阴性症状量表(PANSS)、自知力与治疗态度问卷(ITAQ)及服药依从性评定。对疗效达显著进步及以上的患者进行为期1年随访,结果:PANSS评分两组差异无显著性。治疗前ITAQ评分及服药依从性两组相仿;治疗8周后家庭化组均明显高于对照组。随访1年后,家庭化组复发率明显低于对照组。结论:模拟家庭环境住院治疗不仅有助于首发精神分裂症患者的治疗,而且可降低其复发率。
Objective： To study the effects of stimulated family circumstance therapy in the first-episode schizophrenic patients. Method： Ninety-two inpatients with first episode schizophrenia were randomly divided into family circumstance group（ n = 46） and controlled group（ n = 46） for 8 weeks. Patients in the family circumstance group were in the stimulated family circumstance,while the controls were in the closed circumstance. All the patients were treated with clozapine. The positive and negative symptoms scale （PANS,S）, the insight treatment attitude questionnaire（ITAQ） and drug therapy compliance were used to assess the patients before and after treatment. Then followed upthe patients who got recovery or marked progress for one year. Results： It was found that there were no significant differences in the PANSS score in two groups. The scores of the ITAQ and compliance were closed before treatment in two groups, but which were significantly higher after treatment in the family eircurnstanee group than in the controlled group. The rate of recurrence in the family circumstance group was significantly lower than that in the controlled group within one year. Conclusion： Not only is the stimulated family circumstance beneficial to the treatment for the first-episode schizophrenic patients, but also can lower the rate of recurrence.
出处
《临床精神医学杂志》
2005年第4期209-211,共3页
Journal of Clinical Psychiatry
关键词
家庭化
精神分裂症
family circumstance
schizophrenia
