| 温小霞,黄炜,黄史青,何玉球,黎翠云,郭华贵.团体人际心理治疗对首发精神分裂症患者认知功能及社会功能的影响[J].四川精神卫生杂志,2022,35(6):561-565.Wen Xiaoxia,Huang Wei,Huang Shiqing,He Yuqiu,Li Cuiyun,Guo Huagui,Effects of group interpersonal psychotherapy on cognitive and social function in patients with first-episode schizophrenia[J].SICHUAN MENTAL HEALTH,2022,35(6):561-565 |
| 团体人际心理治疗对首发精神分裂症患者认知功能及社会功能的影响 |
| Effects of group interpersonal psychotherapy on cognitive and social function in patients with first-episode schizophrenia |
| 投稿时间：2022-06-17 |
| DOI：10.11886/scjsws20220617001 |
| 中文关键词: 首发精神分裂症 团体人际心理治疗 认知功能 社会功能 |
| 英文关键词:First-episode schizophrenia Group interpersonal psychotherapy Cognitive function Social function |
| 基金项目:佛山市卫生和计生局科研课题（项目名称：心理治疗对首发精神分裂症患者及联合家庭干预的效果评估，项目编号：20170131） |
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| 中文摘要: |
| 目的 探讨团体人际心理治疗（IPT）对首发精神分裂症患者认知功能及社会功能的影响，为对精神分裂症患者进行适宜的心理治疗提供参考。方法 选取2021年1月-12月在佛山市第三人民医院就诊的、符合《国际疾病分类（第10版）》（ICD-10）诊断标准的62例首发精神分裂症患者为研究对象，按照随机数字表法分为研究组和对照组各31例。两组患者均接受利培酮治疗，研究组在此基础上接受团体IPT，两组均治疗8周。在治疗前及治疗8周后，采用阳性和阴性症状量表（PANSS）、威斯康星卡片分类测试（WCST）以及个体和社会功能量表（PSP）分别评定患者的精神病性症状、认知功能和社会功能。结果 治疗8周后，两组PANSS评分差异无统计学意义（t=0.296，P>0.05）；研究组WCST总应答数高于对照组，持续性错误数和非持续性错误数均低于对照组，PSP评分高于对照组，差异均有统计学意义（t=0.398、2.609、0.523、0.381，P<0.05或0.01）。结论 团体IPT对首发精神分裂症患者症状改善可能无明显作用，但可能有助于改善患者的认知功能和社会功能。 |
| 英文摘要: |
| Objective To explore the effects of group interpersonal psychotherapy （IPT） on cognitive and social function in patients with first-episode schizophrenia， and to provide references for appropriate psychological treatment for the patients.Methods A total of 62 patients with first-episode schizophrenia who met the diagnostic criteria of International Classification of Diseases， tenth edition （ICD-10） and were admitted to the Third People's Hospital of Foshan from January to December 2021 were selected as the study objects. And patients were divided into study group and control group according to random number table method， each with 31 cases. Both groups were treated with risperidone for 8 weeks， based on this， study group received group IPT. Before and after 8 weeks of treatment， Positive and Negative Syndrorne Scales （PANSS）， Wisconsin Card Sorting Tests （WCST） and Personal and Social Performance Sale（PSP） were adopted to assess the patients' psychiatric symptoms， cognitive function and social function.Results After 8 weeks of treatment， there was no significant difference in PANSS scores between the two groups （t=0.296， P>0.05）. The WCST total number of responses in the study group was larger than that in the control group， the number of perseverative errors and non-perseverative errors were smaller than those in the control group， and PSP score of the study group was higher than that of the control group， with statistically significant differences （t=0.398， 2.609， 0.523， 0.381， P<0.05 or 0.01）.Conclusion Group IPT may have no significant efficacy on alleviating the symptoms of patients with first-episode schizophrenia， but it may help improve the cognitive and social function in patients. |
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