多家庭治疗对儿童精神分裂症患者康复的疗效研究.docVIP

多家庭治疗对儿童精神分裂症患者康复的疗效研究 王秀珍 苏荣坤 李泓锦 黄晓燕 邵丽影 倪晓梅 (沈阳市精神卫生中心心理治疗科，辽宁 沈阳 110168) 摘要：目的 探讨多家庭治疗前后不同研究组PANSS评分在不同时间点上及组间的差异，以考察多家庭治疗组是否比个别家庭治疗组、单纯药物治疗组具有更好的近期和远期疗效。方法 将133名儿童精神分裂症恢复期患者随机分成多家庭治疗组45人、个别家庭治疗组45人和单纯药物治疗组43人。在治疗前、治疗后及治疗后3个月采用阳性与阴性症状量表（PANSS)和个体和社会功能量表（PSP ）对其进行评定。对所得数据进行描述性统计分析、方差分析。结果 多家庭治疗组和个别家庭治疗组在治疗结束、治疗后3个月与治疗前的PANSS和PSP总分上均存在显著差异（p＜0.01）；而单纯药物治疗组则差异不显著性。事后检验显示多家庭治疗组和个别家庭治疗组的PANSS、PSP总分除了治疗结束与治疗后3个月相比不显著外，其他均达到显著性差异，其中多家庭治疗组疗效更高。组间差异分析显示，多家庭治疗组在治疗结束及结束后3个月上的PANSS、PSP总分均高于个别家庭治疗组及单纯药物治疗组，且差异显著（p＜0.01）。结论 无论是近期效果还是远期效果上，多家庭治疗在改善儿童精神分裂症患者的症状和社会功能方面比个别家庭治疗、单纯药物治疗均具有明显的优势。 关键词：儿童，精神分裂症，家庭治疗，疗效 Research on the efficacy of multiple family therapy on rehabilitation of children with schizophrenia Wang Xiuzhen, Su Rongkun, Li Hongjin, Huang Xiaoyan, Shao Llying, Ni Xiaomei Department of Psychology，Shenyang mental health center，shenyang 110168，China Abstract： Objective The objective of the research is to explore the different of different study groups PANSS scores before and after multiple family therapy to examine whether the multiple family therapy group has a better short-term and long-term efficacy than individual family therapy group and simple drug group. Methods 133 convalescent children with schizophrenia were randomly divided into three groups, 45 people are in multiple family therapy group, 45 people are in individual family therapy group，43 people are in the simple drug group who accept simple drug treatment. All subjects participate in the pre-test, post-test and follow-up test after three months with the Positive and Negative Syndrome Scale (PANSS) and Personal and Social Performance Scale (PSP). The data are analyzed using descriptive statistical analysis and analysis of variance method. Results There are significantly different multiple family therapy group and individual family therapy group by PANSS and PSP total score among pre-test, post-test and follow-up test after three months (p 0.01), while the difference in the simple drug group is not sig