| 岳曼曼,马瑞,吴远雄,王蕊,吴延海,吴金陵,崔舒.团体游戏治疗对改善住院女性精神分裂症患者认知功能和阴性症状的效果[J].四川精神卫生杂志,2024,37(3):232-236.Yue Manman,Ma Rui,Wu Yuanxiong,Wang Rui,Wu Yanhai,Wu Jinling,Cui Shu,Efficacy of group play therapy on cognitive function and negative symptoms in hospitalized female patients with schizophrenia[J].SICHUAN MENTAL HEALTH,2024,37(3):232-236 |
| 团体游戏治疗对改善住院女性精神分裂症患者认知功能和阴性症状的效果 |
| Efficacy of group play therapy on cognitive function and negative symptoms in hospitalized female patients with schizophrenia |
| 投稿时间：2023-08-04 |
| DOI：10.11886/scjsws20230804003 |
| 中文关键词: 精神分裂症 团体游戏治疗 认知功能 阴性症状 |
| 英文关键词:Schizophrenia Group play therapy Cognitive function Negative symptoms |
| 基金项目:阜阳市卫生健康委科研项目（项目名称：精神分裂症伴代谢障碍的认知功能研究，项目编号：FY2021-147） |
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| 中文摘要: |
| 背景 精神分裂症患者常伴有阴性症状和严重的认知功能受损，但目前关于缓解阴性症状和提高认知功能的有效干预措施有限。精神分裂症团体游戏治疗的研究处于初步阶段，其可能对症状改善有积极影响。目的 探索团体游戏治疗对改善住院女性精神分裂症患者认知功能和阴性症状的效果，为对这一群体的临床干预提供参考。方法 纳入2022年4月—2023年5月于阜阳市第三人民医院住院治疗的、符合《国际疾病分类（第10版）》（ICD-10）精神分裂症诊断标准的40例女性患者为研究对象，采用随机数字表法分为研究组（n=20）和对照组（n=20）。两组均接受常规治疗，研究组在此基础上接受为期5周、共10次的团体游戏治疗。在基线期，采用阳性症状评定量表（SAPS）、阴性症状评定量表（SANS）、抑郁自评量表（SDS）、护士用住院患者观察量表（NOSIE）和重复性成套神经心理状态测验（RBANS）进行评定；治疗后，采用SAPS、SANS和RBANS进行评定。将患者基线期SAPS评分、SANS评分、RBANS总评分及各因子评分作为协变量，采用协方差分析比较治疗后两组患者各量表评分。结果 共39例患者完成本研究。协方差分析结果显示，治疗后，研究组SANS评分低于对照组，RBANS总评分以及即刻记忆、言语功能和注意因子评分均高于对照组，差异均有统计学意义（F=13.408、10.331、4.932、9.967、10.010，P<0.05或0.01）。结论 团体游戏治疗可能有助于改善住院女性精神分裂症患者的阴性症状和认知功能。 |
| 英文摘要: |
| Background Schizophrenia patients are often accompanied by negative symptoms and severe cognitive impairment， but effective interventions intended to alleviate such condition are currently limited. Existing researches on group play therapy for schizophrenia is still in its initial stages， and such therapy has the potential to contribute to symptoms improvement.Objective To explore the efficacy of group play therapy on improving cognitive function and negative symptoms in hospitalized female patients with schizophrenia， so as to provide references for clinical intervention in such group.Methods This study involved 40 female patients with schizophrenia who received inpatient treatment at the Third People's Hospital of Fuyang from April 2022 to May 2023 as well as met the diagnostic criteria of the International Classification of Diseases， tenth edition （ICD-10）. They were divided into study group （n=20） and control group （n=20） according to the random number table method. Both groups received routine treatment， and the study group received 10 sessions of group play therapy for 5 weeks on the basis. At baseline， Scale for Assessment of Positive Symptoms （SAPS）， Scale for Assessment of Negative Symptoms （SANS）， Self-rating Depression Scale （SDS）， Nurses' Observation Scale for Inpatient Evaluation （NOSIE）， and Repeatable Battery for the Assessment of Neuropsychological Status （RBANS） were used for assessment. Post-therapy evaluation was conducted by using SAPS， SANS and RBANS. Patients' baseline SAPS scores， SANS scores， RBANS total scores， and various factor scores of RBANS were used as covariates， and covariance analysis was adopted to compare the scores of each scale between the two groups after treatment.Results A total of 39 patients went through the whole study. Results of covariance analysis showed that the SANS score of study group was lower than that of control group， while several scores of RBANS （including total score， immediate memory factor score， speech function factor score and attention factor score） were all higher than those in control group. Significant difference was observed between two groups in scores of both scales above （F=13.408， 10.331， 4.932， 9.967， 10.010， P<0.05 or 0.01）.Conclusion Group play therapy may help improve negative symptoms and cognitive function in hospitalized female patients with schizophrenia. ［Funded by Research project of Fuyang Municipal Health Commission （number， FY2021-147）］ |
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