分散内观认知疗法对女性偏执型精神分裂症康复期患者临床症状的应用研究

摘要

目的：探讨分散内观认知疗法(Discontiguous Naikan Cognitive Therapy，DNCT)合并药物治疗对女性偏执型精神分裂症康复期患者临床症状的改善。方法研究对象为70例住院的女性偏执型分裂症康复期患者，将入组患者随机分为两组，35例研究组患者给予分散内观认知疗法合并药物治疗，对照组35例给予药物治疗，所有患者在治疗前、后采用简明精神病评定量表(BPRS)评定疗效。结果研究组完成32例，对照组完成34例，研究组治疗后BPRS量表总分、思维障碍、迟滞、焦虑抑郁、敌意猜测等因子的评分较治疗前降低，差异有统计学意义；对照组治疗后的迟滞因子分较治疗前降低，差异有统计学意义；治疗后研究组BPRS量表总分、活动过多、敌意猜测、焦虑抑郁等因子的评分较治疗前降低，差异有统计学意义。结论分散内观认知疗法联合药物治疗可以改善偏执型分裂症康复期患者的临床症状。%Objective To investigate the treatment of clinical symptoms with Discontiguous Naikan Cognitive Therapy (DNCT)combined with antipsychotic on the female patients with paranoid schizophrenia in rehabilitation period. Methods 70 female hospitalized patients with paranoid schizophrenia in rehabilitation period were chosen. Al patients were randomly divided into two groups. The study group (35 cases) was given DNCT combined with antipsychotic, and the control group (35 cases) was given antipsychotic . The Brief Psychiatric Rating Scale was administered to al subjects pre-treatment and post-treatment. Results There were 32 and 34 patients respectively in study group and control group finishing the study. In the study group, BPRS total scores after treatment, anxiety and depression factor, damping factor, thought disorder factor and hostile speculation factor scores were lower than before treatment, the dif erence was statistical y significant;In control group, before and after treatment,BPRS retardation factor scale score points lower; In the study group after treatment, BPRS total score, anxiety and depression factors, activities, and hostile speculation factor score were lower than before treatment. Conclusion DNCT combined with antipsychotic can improve the clinical symptoms on the recovery status of paranoid schizophrenia.