摘要
目的探讨绘画疗法对精神分裂症的远期疗效。方法将80例精神分裂症患者随机分成绘画组和对照组各40例,分别进行药物加用绘画治疗和单纯药物治疗。用BPRS量表和自知力与治疗态度问卷(ITAQ)、社会功能缺陷筛选量表(SDSS)于入院时、出院时和出院后1年对患者进行评估。结果治疗后两组BPRS、ITAQ评分、治疗依从性和社会功能均较治疗前有明显改善,但以绘画组显著较好(P<0.05);并维持至出院后1年仍显著优于对照组(P<0.05)。入院时绘画组和对照组SDSS评分分别为(10.7±1.3)分和(10.3±1.2)分,出院后1年分别为(7.2±0.9)分和(4.2±0.8)分,以绘画组优于对照组(P<0.05);病情复发率和再住院率均以绘画组显著较低(P<0.05)。结论绘画治疗增强了精神分裂症病人的治疗依从性,提高了自知力,对精神分裂症患者的治疗效果能长期保持,有效降低病人的复发率和再住院率,有益于精神分裂症病人的社会功能恢复。
Objective To explore the long-term outcome of painting therapy on schizophrenia.Methods A total of 80 cases of patients with schizophrenia randomly divided into painting group and control group(40 cases in each group) were studied respectively in drug treatment and pure painting drug therapy.BPRS scale and self-knowledge and treatment questionnaire(ITAQ),social function defect screening scale (SDSS) were used to evaluate the patients on admission,discharge and 1 year after discharge.Result After treatment,ITAQ score,treatment BPRS,compliance and social function of the two groups were obviously improved,There was significance in painting group(P〈0.05). and it maintained to 1 year after discharge(P〈0.05).The scores of SDSS in the painting group and the control group were respectively(10.7±1.3) and (10.3±1.2) on admission, 1 year after discharge were (7.2±0.9) and (4.2±0.8).The painting group was better than control group(P〈0.05).Disease recurrence rates and readmission rate in the painting group were lower significantly than that one(P〈0.05).Conclusion Painting therapy enhances the compliance of patients with schizophrenia,improves adherence to self,maintains the treatment effect on the patients with schizophrenia, effectively reduces readmission rate and recarrence rate, benefits recovering of the social function of patients with schizophrenia.
出处
《中国健康心理学杂志》
2010年第12期1419-1420,共2页
China Journal of Health Psychology
关键词
精神分裂症
绘画治疗
随访研究
Schizophrenia
Painting therapy
Follow-up study
作者简介
E—mail:dfrmyyywk@163.com