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自信心训练对慢性精神分裂症患者日常生活能力的影响研究 预览 被引量:1

Effects of self-confidence training on activities of daily life of chronoc schizophrenics
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摘要 目的探讨自信心训练对慢性精神分裂症患者日常生活能力的影响。方法将120例慢性精神分裂症患者随机分为两组,每组各60例,均给予常规抗精神病药物治疗,研究组联合自信心训练,观察3mo。于自信心训练前及训练3mo末,采用阳性症状评定量表、阴性症状评定量表和日常生活能力量表评定临床疗效。结果阳性症状评定量表评分训练前后及同期两组问比较均无显著性差异(P〉0.05)。阴性症状评定量表及日常生活能力量表评分研究组训练3mo末较训练前均有显著下降(t=4.21,2.61,P〈0.01),对照组无显著变化(P〉0.05);两组间比较训练前无显著性差异(P〉0.05),训练后均有极显著性差异(P〈0.01)。结论自信心训练能改善或缓解慢性精神分裂症患者的阴性症状,显著提高患者的日常生活能力。 Objective To explore the effects of self-confidence training on activities of daily life of chronic schizophrenics. Methods 120 chronic schizophrenics were randomly divided into two groups(each n:60), research group receiving routine antipsychotics plus self-confidence training and control group doing single routine antipsychotics for 3 months. Clinical efficacies were assessed with the Scale for Assessment of Positive Symptoms(SAPS), the Scale for Assessment of Negative Symptoms(SANS) and the Activities of Dai- ly Life Scale(ADL) before and after training. Results There were no differences in the SAPS scores and synchronization inter-group comparison(P〉0.05). Scores of both the SANS and the ADL lowered more significantly in research group after training compared with pre-training(P〈0.01) and had no significant change in the control gr0up(P〉0.05);there was no significant difference before training(P〉0.05) and was significant difference after training (P〈0.01) between the 2 groups. Conclusion Self-confidence training can improve or relieve the negative symptoms and obviously raise daily life activities of chronic schizophrenics.
作者 陈朋月 朱岚 高慧 Chen Pengyue ,Zhu Lan ,Gao Hui (The First Psychiatric Hospital of Shanghai Civil Administration, Shanghai 201105, China)
出处 《临床心身疾病杂志》 CAS 2008年第2期 97-98,102,共3页 Journal of Clinical Psychosomatic Diseases
关键词 慢性精神分裂症 自信心训练 日常生活能力 Chronic schizophrenia self-confidence training activities of daily life
作者简介 陈朋月,女,39岁,汉族,本科,副主任医师。主要研究成果:发表医学论文20余篇。研究方向:老年精神医学、康复精神医学、心理咨询与心理治疗。
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