情感技能训练对精神分裂症患者述情障碍的影响.docVIP

情感技能训练对精神分裂症患者述情障碍的影响 　　【摘要】 目的 探讨情感技能训练对精神分裂症患者述情障碍的影响。 　　方法 将80例精神分裂症患者按随机数字表分成训练组和对照组各40例，对照组按照精神科疾病护理常规进行护理，训练组在对照组基础上从认知、情感表达、培养共情三方面进行为期6个月的情感技能训练，观察比较两组患者述情障碍和人际反应情况变化。 　　结果 训练前，两组患者TAS-20和IRI-C评分差异无统计学意义（P0.05）；经训练6个月后，两组TAS-20和IRI-C评分均显著改善（P0.01），训练组TAS-20和IRI-C评分改善程度均优于对照组（P0.01）。 　　结论 情感技能训练能促进精神分裂症患者人际交往能力恢复，有助于减轻述情障碍程度，提高患者共情，为患者回归社会打下良好的基础。 　　【关键词】 精神分裂症；述情障碍；情感技能训练 　　中图分类号：R749.3 文献标识码：A DOI：10.3969/j.issn.1003-1383.2017.03.022 　　【Abstract】 Objective To explore the effect of emotional skill training on alexithymia of patients with schizophrenia. 　　Methods 80 cases of schizophrenia were divided into training group and control group according to random number table，with 40 cases in each group.The control group were given routine nursing care according to psychiatric nursing routine，and based on which，the training group were given 6 months of emotional skill training from the aspects of cognition，emotion and empathy.And then，changes of alexithymia and interpersonal response were compared between the two groups. 　　Results Before emotional skills training，difference of TAS-20 and IRI-C scores was not statistically significant（P0.05）.After 6 months of emotional skills training，TAS-20 and IRI-C scores of the two groups improved significantly（P0.01），and those of the training group improved more significantly（P0.01）. 　　Conclusion Emotional skills training can promote the recovery of interpersonal skills of patients with schizophrenia，help to reduce the degree of alexithymia，and improve the patient’s empathy，which lays a good foundation for patients to return to society. 　　【Key words】 schizophrenic；alexithymia；emotional skills training 　　述情障?K又称“情感表达不能”或“情感难言症”，它是某些躯体疾病或精神疾病中常见的心理特点或继发症状，主要表现为难以识别及用语言描述情感特征，包括情感缺乏、想象力或幻想力贫乏，与他人交流困难，缺乏正性情绪并具有高比例的负面情绪[1～2]。共情是个体对他人情绪状态的感同身受、认知理解和协调行为反应能力[3]。研究表明[4]，精神分裂症患者存在述情障碍和共情缺陷，且述情障碍与共情缺陷存在一定的相关性，述情障碍越明显共情缺陷越严重。为减轻精神分裂症患者的述情障碍和共情缺陷，提高其人际交往和社会功能，2015年6月至2016年10月我院对40例住院精神分裂症患者施予情感技能训练，取得良好的效果，现总结报告如下。 　　1 资料与方法