摘要
目的:研究认知行为疗法对慢性精神分裂症患者精神病症状的疗效。方法:将慢性精神分裂症患者随机分为常规治疗联合认知行为治疗组,常规治疗联合支持性心理治疗组以及单纯常规治疗组。90名慢性精神分裂症患者接受了研究,85例患者完成研究。结果:认知行为治疗组患者的简明精神病量表(BPRS)得分(F=5.42,df=2,86;P=0.006)和大体功能评定量表(GAF)得分(F=4.99,df=2,86;P=0.009)显著改善。联合支持性心理治疗的患者的症状无显著改善。回归分析表明,联合认知行为治疗能够显著改善患者症状,而只接受常规治疗的患者会更有可能出现症状的恶化,延长住院天数。结论:认知行为治疗对慢性精神分裂症治疗有效。
Objective： To investigate whether cognitive behavior therapy results in significant improvement in patients with chronic schizophrenia. Methods：Patients with chronic schizophrenia were randomly allocated to cognitive behavior therapy and routine care, supportive counseling and routine care, and routine care alone. 90 patients participated in the research, 85 completed treatment. Results： Significant improvements were found in BPRS score（F =5.42, df=2,86; P =0.006） and GAF score （F =4.99, df=2, 86 ; P = 0. 009 ） in those treated with cognitive behavior therapy. The supportive counseling group showed a non - significant improvement. Logistic regression indicated that receipt of cognitive behavior therapy results in almost eight times greater odds （ odds ratio 7. 88 ） of showing this improvement. The group receiving routine care alone also experienced more exacerbations and days spent in hospi- tal. Conclusions ： Cognitive behavior therapy is a potentially useful adjunct treatment in the management of patients with chronic schizophrenia.
出处
《中国民康医学》
2009年第17期2128-2129,2134,共3页
Medical Journal of Chinese People’s Health
