认知行为疗法对康复期精神分裂症患者社会功能影响.docVIP

认知行为疗法对康复期精神分裂症患者社会功能影响 　　[摘要] 目的 分析认知行为治疗对处于康复期的精神分裂症患者社会功能恢复的影响。 方法 对于确诊患有精神分裂的84例患者，按照随机分配的原则，分为实验组、对照组。两组均采用同一种抗精神病药物进行治疗，对照组的患者进行常规的治疗。而实验组的患者则结合常规以及认知行为的方式进行治疗。详细记录两组患者的疗效并进行综合性的评价以及分析。 结果 对于两组患者治疗1年之后生活质量以及社会功能等多方面的变化进行分析发现，差异有统计学意义（P0.05）。此外，对于两组患者PANSS阴性症状进行的评分比较发现，实验组患者显著低于对照组患者。 结论 采用认知行为疗法对患有精神分裂症的患者进行辅助性治疗，不仅可有效地改善患者的相关症状，提高患者的精神康复水平，改善患者的生活质量，而且还可以使患者的社会功能的改善有一定的提高。 　　[关键词] 认知行为疗法；康复期；精神分裂症；生活质量；社会功能 　　[中图分类号] R749.3 [文献标识码] A [文章编号] 1673-9701（2016）09-0016-04 　　[Abstract] Objective To analyze effects of cognitive behavior therapy on the improving social function in patients with rehabilitation period schizophrenia. Methods 84 schizophrenic inpatients were randomly divided into the trial group and control group， with 42 cases in each group. The two groups were treated with the same kind of antipsychotic drugs， and the control group was treated with conventional therapy. The trial group was treated with conventional therapy and cognitive behavior therapy. Detailed records of the two groups of patients with curative effect and comprehensive were evaluated and analyzed. Results The two groups of patients who were treated for one year， the quality of life and social function and other aspects of the changes were analyzed， the difference was statistically significant（P0.05）. In addition， for the two groups of patients with negative symptoms score in Positive and Negative Syndrome Scale（PANSS） were compared， the trial group was significantly lower than the control group. Conclusion Cognitive behavioral therapy for patients schizophrenia can effectively improve the patients symptoms， increase the degree of mental health， improve the quality of life of patients， but also can improve the social function of patients. 　　[Key words] Cognitive behavioral therapy； Rehabilitation； Schizophrenia； Quality of life； Social function 　　精神分裂症是一种在青壮年群体中具有较高发病率的疾病，具有慢性以及迁延性的特点，是一种对人类的健康有着较高威胁性的精神类疾病[1]。目前关于抗精神病的相关药物种类较多，且对于患者的症状控制以及缓解病情等方面有着重要的作用及效果。但单纯的采用药物进行疾病的治疗，对于疾病