认知行为治疗对慢性精神分裂症患者的疗效研究.docxVIP

认知行为治疗对慢性精神分裂症患者的疗效研究 张叶许俊亭(大连市第七人民医院116000) 【摘要】目的：研究认知行为疗法对慢性分裂症患者精神病症状的疗效。方 法：将慢性分裂症患者随机分为常规治疗联合认知行为治疗组，常规治疗联合支 持性心理治疗组以及单纯常规治疗组。90名慢性分裂症患者接受了研究，85例 患者完成研究。结果:认知行为治疗组患者的简明精神病量表(BPRS)得分(5.42, df=2,86; P=0.006)和大体功能评定量表(GAF)得分(F二4.99, df二2,86; P二0.009)显著 改善。联合支持性心理治疗的患者的症状无显著改善。回归分析表明，联合认知 行为治疗能够显著改善患者症状，而只接受常规治疗的患者会更有可能出现症状 的恶化，延长住院天数。结论：认知行为治疗对慢性分裂症患者治疗有效。 【关键词】慢性分裂症患者认知行为治疗支持性心理治疗 【中图分类号】R749.05 【文献标识码】A 【文章编号】1672-5085 (2013) 51-0014-03 Ran domized con trolled trial of cognitive behavior therapy for patients with chronic schizophrenia the No.7 Peoplersquo;s Hospital of Dalian Liaoning Zhang Ye, Xu Junting 【Abstract] Objectives: To investigate whether cognitive behavior therapy results in significant improvement in patients with chronic schizophrenia. Method: Patients with chronic schizophrenia were randomly allocated to cognitive behavior therapy and routine care, supportive counseling and routine care, and routine care alone. 90 patients par廿cipated in the research, 85 completed treatment. Results: Significant improvements were found in BPRS score(F = 5.4乙 df = 2,86; P = 0.006) and GAF score (F = 4.99, df = 2,86; P = 0.009) in those treated with cognitive behavior therapy. The supportive counseling group showed a non?sign讦icant improvement. Logistic regression indicated that receipt of cognitive behavior therapy results in almost eight times greater odds (odds ratio 7.88) of showing this improvement? The group receiving routine care alone also experieneed more exacerbations and days spent in hospital. Conclusions: Cognitive behavior therapy is a potentially useful adjunct treatment in the management of patients with chronic schizophre nia. 【Keywords] Chronic Schizophrenia Cognitive behavior therapy Supportive coun sell ng 对于分裂症患者来说，尽管药物治疗已经取得了长足的发展，但分裂症仍然 是一种致残性极高的疾病。尤其是慢性分裂症患者，许多患者经过长期的治疗后 仍然残留大量的症状，治疗效果差，给家庭和社会造成重大的负担。国外有研究 表明认知行为治疗能够减少慢性分裂症患者的幻觉、妄想等症状⑴。如果这一 结果得到证实，这将使许多患者从中受益，并且从长远的角度来看，这将人人的 降低治疗费用。 本研究应用随机对照方法将认知行为治疗作为分裂症常规治疗的一种辅助 手段，对慢性分裂症患者进行研究。在研究中，为了