摘要
目的:探讨药物联合认知行为治疗对精神分裂症患者应对方式的影响。方法:本研究为随机对照临床试验。选取符合美国精神疾病诊断与统计手册第4版(DSM-IV)中精神分裂症诊断标准的医院门诊和住院患者共132例,随机分配到认知行为治疗组(CBT组,n=66)和支持性心理治疗组(ST组,n=66),在药物治疗基础上分别接受15次CBT和ST。并在治疗前后采用应对方式问卷(CSQ)对两组患者进行评估。结果:经过24周治疗,CBT组CSQ的解决问题、自责、求助、逃避四个因子的得分均有显著改善(P<0.05);而ST组只在自责因子分数有显著改变(P<0.05)。两组进行治疗后比较,CBT组的问题解决和求助因子显著高于ST组(P<0.001)。结论:认知行为治疗能够有效的改善精神分裂症患者的应对方式。
Objective： To explore the efficacy of Cognitive Behavioral Therapy （CBT） on coping style of patients with schizophrenia. Methods： In this double, randomized controlled study, 132 patients who met the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition（DSM-IV） criteria for schizophrenia were randomly assigned to CBT group（n= 66）, and supportive psychotherapy（ST） group（n=66）. The patients accepted 15 sessions of CBT or ST respectively. Coping Style Questionnaire （CSQ） and Positive and Negative Symptom Scale （PANSS）were used to assess the efficacy at baseline and 24 blindly. Results： In CBT group, the score of problem solving, self-accusation, seeking help, escaping factors of CSQ was higher at weeks 24 than that at baseline （P〈0.05）. In ST group, only the difference of self-accusation foctor had statistical significance （P〈0.05）. The score of problem solving and seeking help foctors in CBT group was higher than that in ST group（P〈0.001 ）. Conclusion： CBT can improve the cooin~ style of oatients with schizophrenia.
出处
《中国临床心理学杂志》
CSSCI
CSCD
北大核心
2013年第3期455-457,共3页
Chinese Journal of Clinical Psychology
基金
北京市科委研发攻关项目(D0906001040391)
关键词
精神分裂症患者
认知行为治疗
应对方式
Schizophrenia patient
Cognitive behavioral therapy
Coping style
