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内观疗法对精神分裂症伴发抑郁的影响
朱俊艳1,2
1.(1)西安市精神卫生中心妇女心理卫生科;2.2)西安市中心医院神经内科,陕西 西安 710061)
摘要:
[摘要]目的 探讨内观疗法对精神分裂症伴发抑郁患者情绪症状及心理状态的影响.方法 对精神分裂症伴发抑郁患者按照入组顺序分组,每组各128例.对照组按照精神分裂症治疗常规,研究组在常规治疗的基础上加用内观疗法,治疗6周.在入组时和出组时分别对患者进行阳性与阴性症状量表(PANSS)、简易应对方式问卷(SCSQ)、防御方式问卷(DSQ)、汉密尔顿抑郁量表(HAMD)、汉密尔顿抑郁量表(HAMA).结果 第6周研究组HAMD、掩饰型因子分、消极应对因子分值显著低于对照组(t = 2.37、2.33、2.36,P<0.05);研究组第6周HAMD、掩饰型因子分、消极应对因子分值显著低于第0周 (t = 2.31、2.42、2.47,P<0.05) ;研究组及对照组第6周PANSS总分及各因子分显著低于第0周 (P<0.05).结论 内观疗法可以改善精神分裂症伴发抑郁患者的心理健康水平,改善抑郁症状.
关键词:  [关键词]精神分裂症  内观疗法  抑郁
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基金项目:[基金项目]西安市卫生局科技计划基金资助项目(2013035)
The Influence of Naikan Therapyon on Depression in Patients with Schizophrenia
ZHU Jun-yan1,2
1.(1)Dept. of Women's Mental Health,Xi’an Mental Health Center;2)Dept. of Internal Medicine,Central Hospital of Xi’an,Shaanxi Xi’an 710061,China)
Abstract:
[Abstract]Objective To study the influence of Naikan therapy on depression in patients with Schizophrenia. Methods 256 patients with Schizophrenia were divided into study group and control group according to the set sequence. The study group was simulated by Naikan therapy and the control group was given routine cure. All patients were assessed by Positive and negative symptom scale(PANSS),Simple coping style questionnaire (SCSQ),Defense way questionnaire(DSQ), Hamilton depression scale (HAMD), and Hamilton anxiety scale (HAMA). Results In the 6th week,the differences in HAMD score,Cover factor, negative coping were statistically significant between the two groups(t=2.37,2.33,2.36,P<0.05). The differencs in HAMA score, Cover factor,negative coping were statistically significant between the 0th and the 6 th week in the study groups (t =2.31,2.42,2.47,P < 0.05). The difference of PANSS score were statistically significant between the 0th and 6th week of the two groups. Conclusion The Naikan therapy can improve the mental symptoms and depressive symptoms in patients with Schizophrenia.
Key words:  [Key words]Schizophrenia  Naikan therapy  Depression