团体心理治疗在男性精神分裂症患者中的应用效果评价

The effect of group psychotherapy on male schizophrenia patients

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摘要目的探讨团体心理治疗联合药物治疗男性精神分裂症患者的效果。方法将80例男性精神分裂症患者按照随机数字表法分为治疗组和对照组,各40例。对照组患者给予盐酸哌罗匹隆片药物治疗,治疗组患者在对照组的基础上给予团体心理治疗。两组患者均治疗8周。治疗前后采用阳性与阴性症状量表(PANSS)、精神疾病内在病耻感量表(ISMI)、自尊量表(SES)、自知力及治疗态度问卷(ITAQ)评估两组患者的症状严重程度、病耻感、自尊水平、自知力及治疗态度。结果治疗后,两组患者PANSS、ISMI评分低于治疗前,且治疗组低于对照组(P<0.01)。治疗后,两组患者SES、ITAQ评分高于治疗前,且治疗组高于对照组(P<0.01)。结论团体心理治疗联合药物治疗男性精神分裂症患者疗效确切,有助于患者恢复社会功能及改善认知,值得临床推广。 Objective To explore the effect of group psychotherapy(GPT)on male schizophrenia patients.Methods Eighty male schizophrenics were divided into treatment and control group according to random number table,with 40 ones in each.Both groups received paliperidone hydrochloride treatment,treatment group was plus the GPT on the basis of medication.Both groups were treated for 8 weeks.Before and after treatment,such indexes were assessed for both groups using the Positive and Negative Syndrome Scale(PANSS),Internalized Stigma of Mental Illness Scale(ISMI),Self-Esteem Scale(SES):and Insight and Treatment Attitudes Questionnaire(ITAQ)as severity of symptoms,stigma,self-esteem levels,insight,and treatment attitude.Results After treatment,scores on the PANSS and ISMI in both groups were lower compared with pre-treatment and so were those in treatment than control group(P<0.01).After treatment,scores on the SES and ITAQ in both groups were higher compared with pre-treatment and so were those in treatment than controls(P<0.01).Conclusion The GPT plus medication has a definite effect in the treatment of male schizophrenics and is conducive to the recovery of social functions and cognitive improvement,which deserves clinical promotion.

作者平军辉李娟张景丹武艳冉李萌萌 Ping Junhui;Li Juan;Zhang Jingdan;Wu Yanran;Li Mengmeng(The Second Affiliated Hospital of Xinxiang Medical University,Xinxiang 453002,Henan,China)

机构地区新乡医学院第二附属医院

出处《临床心身疾病杂志》 2025年第1期51-54,共4页 Journal of Clinical Psychosomatic Diseases

基金河南省医学科技攻关计划联合共建项目(编号LHGJ20230535)。

关键词团体心理治疗精神分裂症病耻感自尊水平自知力治疗态度 group psychotherapy schizophrenia sense of stigma self-esteem level insight treatment attitude

分类号 R749.3 [医药卫生—神经病学与精神病学] R749.055 [医药卫生—神经病学与精神病学]

作者简介平军辉,男,53岁,汉族,硕士,副高级职称。主要研究成果:参加多项国家、省级科研课题,发表专业论文12篇。研究方向:精神疾病诊治。