文章摘要
王士良,陈建玲,钱敏才,沈鑫华,蒋永红,钟华,冯锐.社交技能训练治疗残留期精神分裂症的疗效观察[J].中国康复,2016,31(5):323-326
社交技能训练治疗残留期精神分裂症的疗效观察
Clinical efficacy of social skill training in the treatment of residual schizophreniacs
  
DOI:
中文关键词: 社交技能训练  精神分裂症  阳性与阴性症状量表
英文关键词: social skill training  schizophrenia  positive and negative syndrome scale
基金项目:浙江省湖州市科技局一般科研计划项目(2011YS21);浙江省卫生厅骨干项目(2012RCA033)
作者单位
王士良 湖州市第三人民医院精神科浙江 湖州 313000 
陈建玲 上海交通大学医学院附属精神卫生中心上海 200030 
钱敏才 湖州市第三人民医院精神科浙江 湖州 313000 
沈鑫华 湖州市第三人民医院精神科浙江 湖州 313000 
蒋永红 湖州市第三人民医院精神科浙江 湖州 313000 
钟华 湖州市第三人民医院精神科浙江 湖州 313000 
冯锐 浙江大学医学院附属邵逸夫医院精神卫生科杭州 310016 
摘要点击次数: 6615
全文下载次数: 4613
中文摘要:
  目的:探讨社交技能训练对残留期精神分裂症患者随访1年的疗效。方法:随机将57例残留期精神分裂症患者分为研究组29例和对照组28例,分别采用利培酮片+社交技能训练治疗及单用利培酮片治疗。采用前瞻性观察研究方法结合全病程管理模式对研究对象进行随访1年。采用阳性和阴性症状量表(PANSS)、日常生活能力量表(ADL)、社会功能缺陷量表(SDSS)分别评估患者的精神症状、日常生活能力及社会功能缺陷程度。结果:重复测量方差分析显示,研究组PANSS总分、阴性症状分、精神病理分、ADL总分、SDSS总分随时间变化呈线性下降趋势,且阴性症状分、ADL总分、SDSS总分变化趋势较对照组下降更显著(P<0.05,0.01)。与基线比较,研究组PANSS总分、阴性症状分、ADL及SDSS总分在治疗后3、6、9、12个月末均有明显下降(P<0.01)。组间比较,12个月末研究组PANSS总分低于对照组(P<0.05),9、12个月末PANSS阴性症状分低于对照组(P<0.01),训练后不同时点ADL、SDSS总分均明显低于对照组(P<0.05,0.01)。结论:系统而规范的社交技能训练不但能够在短期内改善残留期精神分裂症患者的总体病情、阴性症状及日常生活能力和社会功能,而且在长达1年的时间内仍然对患者有持续改善作用。
英文摘要:
  Objective: To explore one-year efficacy of social skill training in the treatment of residual schizophrenics. Methods: The patients were divided into research group and control group by a random number table. The patients in the research group were treated with the combination of risperidone tablets and social skill training, and those in the control group were treated with risperidone tablets alone. The prospective observational study method and the integrated case management were used during the one-year follow-up period. Two groups were assessed with Positive and Negative Syndrome Scale (PANSS), Activity of Daily Living Scale (ADL) and Social Disability Screening Schedule (SDSS) for the evaluation of psychiatric symptoms, daily life ability and social function defects, respectively. Results: Repeated measures analysis of variance showed that the PANSS total scores, negative scores, general psychopathology scores, ADL total scores and SDSS total scores in the research group were descended linearly with time. Furthermore, the trends of negative scores, ADL total scores and SDSS total scores showed significant differences in the research group as compared with the control group (P<0.05 or 0.01). As compared with the baseline, significant differences were detected in the total scores of PANSS, ADL, SDSS and PANSS negative scores at 3rd, 6th, 9th or 12th month after treatment in the research group (P<0.01). As compared with the control group, PANSS total scores decreased significantly in the research group at 12th month after treatment (P<0.05). In addition, PANSS negative scores were also decreased significantly at 9th or 12th month after treatment (P<0.01). ADL and SDSS total scores in the research group were lower than those in the control group at each different time point (P<0.05 or P<0.01). Conclusion: Systematic and normative social skill training can not only improve the general condition, negative symptom, daily life ability and social function of the residual schizophrenia patients, but also keep the improvement within one year.
查看全文   下载PDF阅读器  HTML全文
关闭
本刊微信二维码