心理教育对精神分裂症复发的影响(1)

http://www.100md.com 2011年6月1日 李宜翠

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     【摘要】目的:探究心理教育对预防精神分裂症复发的作用。方法:对2008年5月至2009年10月83例首次住院治疗并临床痊愈出院的精神分裂症患者(实际完成77例，6例脱落)，按出院顺序分为研究组(41例)和对照组(36例)。两组均接受同样的药物维持治疗。研究组服用喹硫平(563±89)mg/d，对照组(591±76)mg/d，对研究组进行半年的心理教育;于试验前及1年后分别对两组的复发率、自知力评分和简明精神病评定量表(BPRS)J进行评定和比较. 结果研究组发病率(7%)低于对照组(25% p<0.05)；研究组自知力评分试验后[(2.6±0.9)分]略低于试验前[(3.0±1.1)分，p>0.05]，而对照组由(2.8±1.0)分升至(5.2±2.5)分(p<0.01);研究组BPRS总分及主要因子分均低于对照组(p<0.01) 结论对缓解精神分裂症的患者进行心理教育，对预防疾病的病发可起到一定的作用。

    【关键词】精神分裂症;心理教育;自知力;复发

    Acomparative study of strengthening insight training to prevent schizophrenia relapse

    Li yicui

    【Abstract】Objective The purpose of this study was to explore the effect of psychologicaleducation in preventing relapse in schizophrenia patients。 MethedsThe subjects of the study was 77 schizophrenia patients who were treated in mental hospital for the first time and had clinically recovered。77 subjects were assigned into two groups by the discharge order.Both groups received the same drug treatment,average dosage :study group (563±89)mg/d;control group (591±76)mg/d ,but the psychology education were given to the study group for the first six months,and follow-up study was corried out after one year ,relapse rate ,the insighe scales,and the Brief Psychiatric Rating Scale was assessed in both group.Results Relapse rate was lower in the study group (7%) than in control groups (25% p<0.05)。In study group, the score of insight was lower after study(2.6±0.9) than before (3.0±1.1，p>0.05),but in control group,the score of insight was higher after study(5.2±2.5)than before (2.8±1.0,p<0.01).The total score of BPRS and main factor were lower in the study group than in control group (p<0.01).Conclusion Education for recovered schizophrenia insight be effective in relieving symptoms and reducing relapse rate.

    【Keywords】Schizophrenia PsychotheropyInsightRelapse

    【中图分类号】R685 【文献标识码】B 【文章编号】1005-0515(2011)06-0028-02

    近几年来，研究心理治疗预防精神分裂症高发越来越多，也取得了一定的效果。高发主要侧重于自知力的评估、自知力与精神病症状严重程度的关系方面[1，2].有资料表明自知力对巩固疗效、防止高发有极其重要的意义[3]。我们采用宣讲精神卫生常识的方法进行心理教育，强化自知力训练进行对照研究如下。

    1 对象和方法

    1.1 对象:为2008年5月至2009年10月本院首次住院治疗并取得临床痊愈出院的精神分裂症患者，共83例，其中男性61例，女性22例。均符合中国精神疾病分类方案与诊断标准第3版(CCMD-3)[4]中精神分裂症的诊断标准 ......

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