摘要
目的探讨团体心理治疗和家庭治疗对康复期精神分裂症患者的症状和社会功能的影响。方法将144例康复期精神分裂症患者随机分成4组,1组采用家庭治疗,另3组患者或家属采用团体心理治疗,使用SAPS、SANS、PSP在心理治疗前后对患者进行测评,并对4组结果进行比较。结果阳性症状改善率患者团体组5.56%,患者-家属团体组12.5%,均与家庭治疗组无显著性差异,而家属团体组0%,与家庭治疗组有(χ2=5.53,P<0.05)显著性差异;阴性症状改善率患者团体组27.78%,家属团体组26.47%,患者-家属团体组34.38%,与家庭治疗组无显著性差异;个人和社会功能改善率患者团体组33.33%,家属团体组41.18%,均与家庭治疗组无显著性差异,而患者-家属团体组65.63%,与家庭治疗组(χ2=4.40,P<0.05)有显著性差异。结论团体心理治疗对康复期精神分裂症患者是一种经济有效的心理社会康复方式。
Objective To discuss the influences taken by the group-psychotherapy in the symptoms and social functions of the reha- bilitative schizophrenia patients. Methods We divided 144 cases of the rehabilitative schizophrenia patients into 4 groups by random. One group was taken family-therapy, and the other three groups were taken group-psychotherapy. We used SAPS, SANS and PSP to assess the patients before and after the treatment, then compared the consequence~ z,~：it^h 4 groups. Results The improvement rate of positive symptoms in the patient-group was 5.56%, and in the patient-family member,group was 12.5%. There were no significant differences be- tween them and family-therapy-group（x2 = 2. 17,0. 69;P 〉 O. 05 ）. But the family member-group＇s rate was 0%. There was significant E difference with the family-therapy-group^（x2 = 5.53, P 〈 O. 05 ） ; The improvement rate of negative symptoms in the patient-group was 27.78% ,and in the family member-group was 26.47% ,and in the patient-family member-group was 34.38%. There were no significant differences with the family-therapy-group （X2 = O. 35, O. 50, O. O0 ; P 〉 O. 05 ） ; The improvement rate of PSP in the patient-group was 33.33%, and in the family member-group was 41.18%. We couldn~ find significant difference compared with the family-therapy-group （X2 = 0. 34,0. O1;P 〉 0.05 ）. The rate in the patient-family member-group was 65.63%. It was significant difference with the family- therapy-group（x2 = 4. 40, P 〈 0.05）. Conclusion The group-psychotherapy is an affordable and effective method for rehabilitative schizophrenia patients.
出处
《中国健康心理学杂志》
2013年第12期1780-1782,共3页
China Journal of Health Psychology
基金
南昌市科技支撑计划项目:洪科发技字(2010)108
