摘要
目的：探讨认知治疗对偏执型精神分裂症的治疗效果。方法：将符合ＣＣＭＤ－２偏执型精神分裂症诊断标准的患者６０例随机分为两组，在治疗恢复期时分别给予精神药物治疗配合认知心理治疗及精神药物治疗配合支持性心理治疗，出院后跟踪随访两年比较疗。结果：两组间社会功能缺陷及日常生活能力的比较无显著差异，出院后两年的病情复发率认知治疗组明显低于对照组（ｐ＜０．０５）。病情复发的原因主要为不服从治疗、中断药物治疗所致。结论：认知治疗可提高精神分裂症患者对疾病的认识能力，提高患者服从治疗的依从性，因此可改善远期疗效。
Objective:to study the therapeutic effect of cognitive psychotherapy on remission of paranoid typed schizophrenia Method:sixty inpatients diagnosed as paranoid schizophrenia according to CCMD Ⅱ were divided randomly into two groups One group was treated with antipsychotics and cognitive therapy,another with antipsychotics and supportive psychotherapy in the course of remission Result:there was no demonstrable difference in social disability and activity of daily living between the two groups The rate of relapse in cognitive group was significantly lower than that in supportive group(p<0 05) Incompliant with medication was the main cause of relapse Discussion:cognitive therapy is fit for schizophrenics in remission,it can increase the compliance,so as to reduce the rate of relapse
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
1999年第3期174-175,共2页
Chinese Mental Health Journal
