文章摘要
李雪晶,郭轶,傅春恋,陈立勇,张志滨.小组认知行为治疗对精神分裂症顽固性幻听的疗效观察[J].中国康复,2013,28(4):313-315
小组认知行为治疗对精神分裂症顽固性幻听的疗效观察
Efficacy of group cognitive behavioral therapy for obstinate auditory hallucination in patients with schizophrenia
  
DOI:
中文关键词: 精神分裂症  顽固性幻听  小组认知行为治疗
英文关键词: schizophrenia  obstinate auditory halucination  group cognitive behavioural therapy
基金项目:
作者单位
李雪晶 广州市民政局精神病院医务科广州 510430 
郭轶 广州市民政局精神病院医务科广州 510430 
傅春恋 广州市民政局精神病院医务科广州 510430 
陈立勇 广州市民政局精神病院医务科广州 510430 
张志滨 广州市民政局精神病院医务科广州 510430 
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中文摘要:
  目的:探讨小组认知行为治疗(GCBT)在治疗精神分裂症顽固性幻听中的作用和疗效。方法:精神分裂症伴有顽固性幻听患者120例,随机分为观察组和对照组各60例,均服用抗精神病药治疗,观察组同时合并GCBT,共9个月。分别于治疗前、治疗6及9个月后采用阳性与阴性症状量表(PANSS)和听幻觉评分量表(AHRS)评定临床疗效。结果:治疗6个月后,观察组PANSS及AHRS评分均较治疗前及同期对照组治疗后明显降低(P<0.01,0.05);治疗9个月后,观察组AHRS评分较治疗6个月后及同期对照组明显降低(P<0.01,0.05),观察组PANSS评分明显低于同期对照组(P<0.01)。结论:GCBT不仅能治疗精神分裂症的顽固性幻听,而且对改善其余精神症状、提高社会功能有较好的效果。
英文摘要:
  Objective:To explore the effectiveness of group cognitive behavioural therapy (GCBT) for obstinate auditory hallucination in patients with schizophrenia.Methods:All 120 cases of chronic schizophrenia with obstinate auditory halucination were randomly divided into observation group and control group.Both groups were treated by antipsychoticsm,and observation group was given GCBT additionally for 9 months.Clinical efficacy was evaluated by positive and negative symptoms scale (PANSS) and auditory hallucinations rating scale (AHRS) before and after treatments for 6 and 9 months.Results:Six months after the treatment,the total scores of PANSS and AHRS in observation group were reduced significantly as compared with those pretreatment and control group after treatment (P<0.01 or 0.05).Nine months after the treatment,the scores of AHRS in observation group were reduced significantly as compared with those pretreatment and control group after treatment (P<0.01 or 0.05),the score of PANSS in observation group was higher than that in control group (P<0.01).Conclusion:GCBT can not only treat the obstinate auditory hallucination in patients with schizophrenia,but also alleviate other psychiatric symptoms and improve social function.
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