Pub Date : 2025-02-18DOI: 10.1093/schbul/sbaf007.102
Yuan Ren
Background Patients with schizophrenia often show significant thinking disorders, which have a serious impact on their daily life and recovery of social functions. Traditional treatment methods mainly rely on drugs and psychotherapy, and music intervention, as a new non-drug treatment method, has shown its potential in improving the symptoms of schizophrenia. The study aims to evaluate the effect of music intervention on improving thinking disorders and cognitive functions in patients with schizophrenia. Methods The study included 60 patients with schizophrenia and randomly divided them into a music intervention group and a control group, with 30 people in each group. The experimental group received 12 weeks of music intervention, 3 times a week, 60 minutes each time, including auditory training, instrumental performance, and rhythm activities. The control group continued to receive conventional drug treatment. The study evaluated the patients before and after using the Positive and Negative Syndrome Scale (PANSS) and the cognitive function test scale to compare the changes in thought disorders, positive symptoms, negative symptoms, and cognitive function between the two groups. Results The results showed that the experimental group showed significant improvements in both positive and negative symptom scores, especially in thought disorder symptoms. See Table 1 for specific data. As can be seen from Table 1, the improvement in thought disorder scores, positive symptoms, and negative symptoms scores in the experimental group was significantly greater than that in the control group. The experimental group’s thinking disorder score improved by 9.5 points, positive symptoms improved by 8.2 points, negative symptoms improved by 7.8 points, and cognitive function score improved by 15.7 points, all of which were statistically significant (P < 0.05). The improvement in various assessments in the control group was smaller and did not reach the significance level. Data show that music intervention has significant therapeutic effects in alleviating thinking disorders and improving cognitive function. Discussion Research shows that music intervention can significantly improve the thinking disorders and cognitive functions of patients with schizophrenia, especially showing positive effects in alleviating positive symptoms and negative symptoms. Music intervention is easy to implement and has low side effects, which makes it have good clinical application prospects and provides a valuable supplementary path for the comprehensive treatment of schizophrenia. Future research can further explore the role of music intervention in the long-term recovery of patients with schizophrenia, and combine neuroimaging techniques to further analyze its specific impact on brain function.
{"title":"102 ASSESSMENT AND TREATMENT POTENTIAL OF MUSIC INTERVENTION FOR THINKING DISORDERS IN PATIENTS WITH SCHIZOPHRENIA","authors":"Yuan Ren","doi":"10.1093/schbul/sbaf007.102","DOIUrl":"https://doi.org/10.1093/schbul/sbaf007.102","url":null,"abstract":"Background Patients with schizophrenia often show significant thinking disorders, which have a serious impact on their daily life and recovery of social functions. Traditional treatment methods mainly rely on drugs and psychotherapy, and music intervention, as a new non-drug treatment method, has shown its potential in improving the symptoms of schizophrenia. The study aims to evaluate the effect of music intervention on improving thinking disorders and cognitive functions in patients with schizophrenia. Methods The study included 60 patients with schizophrenia and randomly divided them into a music intervention group and a control group, with 30 people in each group. The experimental group received 12 weeks of music intervention, 3 times a week, 60 minutes each time, including auditory training, instrumental performance, and rhythm activities. The control group continued to receive conventional drug treatment. The study evaluated the patients before and after using the Positive and Negative Syndrome Scale (PANSS) and the cognitive function test scale to compare the changes in thought disorders, positive symptoms, negative symptoms, and cognitive function between the two groups. Results The results showed that the experimental group showed significant improvements in both positive and negative symptom scores, especially in thought disorder symptoms. See Table 1 for specific data. As can be seen from Table 1, the improvement in thought disorder scores, positive symptoms, and negative symptoms scores in the experimental group was significantly greater than that in the control group. The experimental group’s thinking disorder score improved by 9.5 points, positive symptoms improved by 8.2 points, negative symptoms improved by 7.8 points, and cognitive function score improved by 15.7 points, all of which were statistically significant (P &lt; 0.05). The improvement in various assessments in the control group was smaller and did not reach the significance level. Data show that music intervention has significant therapeutic effects in alleviating thinking disorders and improving cognitive function. Discussion Research shows that music intervention can significantly improve the thinking disorders and cognitive functions of patients with schizophrenia, especially showing positive effects in alleviating positive symptoms and negative symptoms. Music intervention is easy to implement and has low side effects, which makes it have good clinical application prospects and provides a valuable supplementary path for the comprehensive treatment of schizophrenia. Future research can further explore the role of music intervention in the long-term recovery of patients with schizophrenia, and combine neuroimaging techniques to further analyze its specific impact on brain function.","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"80 1 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143435034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-18DOI: 10.1093/schbul/sbaf007.088
Zhangquan Huang
Background Schizophrenia is a chronic and serious mental disorder. Although the symptoms of patients have been alleviated during rehabilitation, they still face challenges in the recovery of social and cognitive functions, and are susceptible to external stimuli. The lack of communication and social support during the recovery period may aggravate and worsen the condition. Outward bound training, as an experiential learning activity, can promote patients’ teamwork, self-confidence and self-efficacy, and has a potential positive effect on improving patients’ social function and mental health. The aim of the study was to explore how outreach training can improve patients’ mental health and reduce anxiety and depression levels by enhancing their self-confidence, social skills and coping abilities. Methods From January 2022 to March 2023, 60 patients with schizophrenia admitted to the Third Hospital of Zhuzhou City were selected as the observation group. Meanwhile, a group of volunteers with similar health conditions were selected as the control group. The SCL-90 Symptom Checklist was used in the study to assess the psychological health status of participants. The students in the experimental group underwent a two-day, 8-10 hours, 12 weeks expansion training program over the weekend. The training content includes orienteering, jungle exploration, wilderness camping, as well as field projects such as horizontal bars, bridge crossings, and winding trails. The control group of students maintained their regular physical education schedule, twice a week, which included aerobics, athletics, football, basketball, and more. Results From Table 1, it can be seen that before intervention, there was no significant difference in the scores of each factor of the symptom self-assessment scale between the experimental group and the control group (P values were all greater than 0.05). After 12 weeks of expansion training, the experimental group showed significantly lower scores in all factors compared to the control group (P values were all less than 0.01), especially in the reduction of hostile factors. The scores of each factor in the experimental group decreased significantly after intervention compared to before intervention (P values were all less than 0.01), while there was no significant difference in the scores of each factor in the control group before and after intervention (P values were all greater than 0.05). Discussion The results of this study indicate that after the intervention of expansion training, the psychological health level of participants has significantly improved. Compared with the control group, the differences in various factors have reached statistical significance, indicating that the intervention effect of expansion training is positive. In addition, during the training process, patients’ attention is diverted from worries and setbacks in daily life, which helps regulate emotions and promotes the improvement of mental health.
{"title":"88 STUDY ON THE INFLUENCE OF OUTWARD-BOUND TRAINING ON MENTAL HEALTH OF SCHIZOPHRENIC PATIENTS IN CONVALESCENT PERIOD","authors":"Zhangquan Huang","doi":"10.1093/schbul/sbaf007.088","DOIUrl":"https://doi.org/10.1093/schbul/sbaf007.088","url":null,"abstract":"Background Schizophrenia is a chronic and serious mental disorder. Although the symptoms of patients have been alleviated during rehabilitation, they still face challenges in the recovery of social and cognitive functions, and are susceptible to external stimuli. The lack of communication and social support during the recovery period may aggravate and worsen the condition. Outward bound training, as an experiential learning activity, can promote patients’ teamwork, self-confidence and self-efficacy, and has a potential positive effect on improving patients’ social function and mental health. The aim of the study was to explore how outreach training can improve patients’ mental health and reduce anxiety and depression levels by enhancing their self-confidence, social skills and coping abilities. Methods From January 2022 to March 2023, 60 patients with schizophrenia admitted to the Third Hospital of Zhuzhou City were selected as the observation group. Meanwhile, a group of volunteers with similar health conditions were selected as the control group. The SCL-90 Symptom Checklist was used in the study to assess the psychological health status of participants. The students in the experimental group underwent a two-day, 8-10 hours, 12 weeks expansion training program over the weekend. The training content includes orienteering, jungle exploration, wilderness camping, as well as field projects such as horizontal bars, bridge crossings, and winding trails. The control group of students maintained their regular physical education schedule, twice a week, which included aerobics, athletics, football, basketball, and more. Results From Table 1, it can be seen that before intervention, there was no significant difference in the scores of each factor of the symptom self-assessment scale between the experimental group and the control group (P values were all greater than 0.05). After 12 weeks of expansion training, the experimental group showed significantly lower scores in all factors compared to the control group (P values were all less than 0.01), especially in the reduction of hostile factors. The scores of each factor in the experimental group decreased significantly after intervention compared to before intervention (P values were all less than 0.01), while there was no significant difference in the scores of each factor in the control group before and after intervention (P values were all greater than 0.05). Discussion The results of this study indicate that after the intervention of expansion training, the psychological health level of participants has significantly improved. Compared with the control group, the differences in various factors have reached statistical significance, indicating that the intervention effect of expansion training is positive. In addition, during the training process, patients’ attention is diverted from worries and setbacks in daily life, which helps regulate emotions and promotes the improvement of mental health.","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"49 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143435037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-18DOI: 10.1093/schbul/sbaf007.097
Yanhu Sun*, Nuriah Abd Majid, Sharina Abdul Halim, Haoze Li, Qi Zhang
Background Schizophrenia patients often face high levels of psychological stress, which not only affects their daily life and social functions, but may also aggravate the severity of symptoms. Traditional treatment methods mainly focus on medication and psychotherapy, but rarely involve cultural and artistic interventions. As a comprehensive cultural resource, intangible cultural heritage (ICH) under the educational concept of Science, Technology, Engineering, Arts, and Mathematics Education (STEAM) has the potential to relieve stress and improve mental health. By integrating ICH into the STEAM education framework and exploring its stress relief effect on schizophrenia patients, it is helpful to provide new ideas and methods for mental treatment. Methods Fifty schizophrenia patients were selected and randomly divided into an ICH intervention group and a control group, with 25 patients in each group. The ICH intervention group participated in a 12-week training by participating in an ICH course with traditional crafts, folk music and dance as the content. The course combined the STEAM education concept and emphasized hands-on operation and artistic creation. The control group continued to receive conventional drug treatment and psychological intervention. Before and after the study, the stress level and symptom changes were evaluated by the Stress Assessment Scale (SAS) and the Positive and Negative Syndrome Scale (PANSS). Results The results showed that the intangible cultural heritage intervention significantly reduced the psychological stress of patients with schizophrenia and improved the patients’ positive symptoms and overall symptom performance. See Table 1 for specific data. As can be seen from Table 1, the improvement in the stress score of the intangible cultural heritage intervention group was 13.7 points, from 42.3 points to 28.6 points (P < 0.05), and the positive symptom score dropped from 16.4 points to 12.3 points (P < 0.05). In the control group, the improvement in stress scores and positive symptom scores was smaller, 2.6 points and 0.3 points respectively. It can be seen that the improvement effect of the intangible cultural heritage intervention group was significantly better than that of the control group (P < 0.05). Discussion Research shows that intangible cultural heritage intervention under the STEAM education concept can significantly alleviate the psychological stress of patients with schizophrenia and effectively improve the positive symptoms of patients. By combining the unique charm of intangible cultural heritage and the diversified teaching methods of STEAM education, a new and effective stress relief method can be provided for patients with schizophrenia. This intervention method has good clinical application prospects and provides a new direction for the rehabilitation treatment of schizophrenia.
{"title":"97 THE EFFECT OF NON-HERITAGE CULTURE ON STRESS RELIEF OF SCHIZOPHRENIC PATIENTS UNDER THE CONCEPT OF STEAM EDUCATION ANALYZED","authors":"Yanhu Sun*, Nuriah Abd Majid, Sharina Abdul Halim, Haoze Li, Qi Zhang","doi":"10.1093/schbul/sbaf007.097","DOIUrl":"https://doi.org/10.1093/schbul/sbaf007.097","url":null,"abstract":"Background Schizophrenia patients often face high levels of psychological stress, which not only affects their daily life and social functions, but may also aggravate the severity of symptoms. Traditional treatment methods mainly focus on medication and psychotherapy, but rarely involve cultural and artistic interventions. As a comprehensive cultural resource, intangible cultural heritage (ICH) under the educational concept of Science, Technology, Engineering, Arts, and Mathematics Education (STEAM) has the potential to relieve stress and improve mental health. By integrating ICH into the STEAM education framework and exploring its stress relief effect on schizophrenia patients, it is helpful to provide new ideas and methods for mental treatment. Methods Fifty schizophrenia patients were selected and randomly divided into an ICH intervention group and a control group, with 25 patients in each group. The ICH intervention group participated in a 12-week training by participating in an ICH course with traditional crafts, folk music and dance as the content. The course combined the STEAM education concept and emphasized hands-on operation and artistic creation. The control group continued to receive conventional drug treatment and psychological intervention. Before and after the study, the stress level and symptom changes were evaluated by the Stress Assessment Scale (SAS) and the Positive and Negative Syndrome Scale (PANSS). Results The results showed that the intangible cultural heritage intervention significantly reduced the psychological stress of patients with schizophrenia and improved the patients’ positive symptoms and overall symptom performance. See Table 1 for specific data. As can be seen from Table 1, the improvement in the stress score of the intangible cultural heritage intervention group was 13.7 points, from 42.3 points to 28.6 points (P &lt; 0.05), and the positive symptom score dropped from 16.4 points to 12.3 points (P &lt; 0.05). In the control group, the improvement in stress scores and positive symptom scores was smaller, 2.6 points and 0.3 points respectively. It can be seen that the improvement effect of the intangible cultural heritage intervention group was significantly better than that of the control group (P &lt; 0.05). Discussion Research shows that intangible cultural heritage intervention under the STEAM education concept can significantly alleviate the psychological stress of patients with schizophrenia and effectively improve the positive symptoms of patients. By combining the unique charm of intangible cultural heritage and the diversified teaching methods of STEAM education, a new and effective stress relief method can be provided for patients with schizophrenia. This intervention method has good clinical application prospects and provides a new direction for the rehabilitation treatment of schizophrenia.","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"7 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143435195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-18DOI: 10.1093/schbul/sbaf007.030
Renqing Dai
Background Schizophrenia patients often have significant social thinking disorders, manifested as significantly limited ability to understand the intentions, emotions, and social rules of others, which seriously affects the patient’s social function recovery. Sociology of family education has gradually been introduced into the field of mental illness intervention, emphasizing the improvement of patients’ social thinking and behavioral abilities through family interaction and educational models. Methods The study aims to explore the application effect of sociological methods of family education in the assessment of social thinking disorders in patients with schizophrenia, in order to provide innovative tools for clinical evaluation and guide the optimization of intervention measures. The study recruited 80 patients and their primary family caregivers who met the diagnostic criteria for schizophrenia. They were randomly divided into an experimental group and a control group, with 40 patients and caregivers in each group. On the basis of receiving routine psychiatric treatment, the experimental group participated in a 3-month family education intervention course, which included optimizing family interaction patterns, training social thinking, and simulating social situations; The control group only received routine psychiatric treatment. Before and after intervention, the Social Cognition Assessment Scale (SCAS) was used to assess patients’ social thinking abilities, including three dimensions: emotion recognition, social reasoning, and intention understanding. At the same time, the Family Education Quality Questionnaire (FEQQ) was used to evaluate the implementation effect of family education interventions. Statistical analysis uses paired sample t-test and independent sample t-test. Results The total score of the SCAS for the experimental group patients significantly increased from 45.3±5.6 to 60.8±6.2 after intervention (P<0.01), while the control group only slightly increased from 44.8±5.4 to 46.2±5.8, with no statistically significant difference (P>0.05). In the core dimensions, the emotional recognition score of the experimental group patients increased from 14.2±2.1 to 19.1±2.4 (P<0.01), social reasoning increased from 16.3±3.2 to 22.5±3.5 (P<0.01), and intention understanding increased from 14.8±2.3 to 19.2±2.7 (P<0.01). The improvement of the control group in these dimensions was relatively small and not statistically significant (P>0.05). The results of the FEQQ showed that the experimental group had a pre-intervention score of 32.4±4.5, which significantly increased to 46.7±5.3 after intervention (P<0.01), while the control group only slightly increased from 33.0±4.2 to 33.8±4.6 (P>0.05). The experimental results showed that sociological intervention in family education significantly improved patients’ social thinking ability and the quality of family education, providing effective s
背景 精神分裂症患者往往存在明显的社会思维障碍，表现为对他人意图、情感和社会规则的理解能力明显受限，严重影响患者社会功能的恢复。家庭教育社会学逐渐被引入精神疾病干预领域，强调通过家庭互动和教育模式提高患者的社会思维和行为能力。方法 本研究旨在探讨家庭教育社会学方法在精神分裂症患者社会思维障碍评估中的应用效果，以期为临床评估提供创新工具，指导干预措施的优化。该研究招募了 80 名符合精神分裂症诊断标准的患者及其主要家庭照顾者。他们被随机分为实验组和对照组，每组 40 名患者和护理人员。实验组在接受常规精神治疗的基础上，参加为期 3 个月的家庭教育干预课程，内容包括优化家庭互动模式、训练社交思维、模拟社交情境等；对照组仅接受常规精神治疗。干预前后，采用社会认知评估量表（SCAS）评估患者的社会思维能力，包括情绪识别、社会推理和意图理解三个维度。同时，采用家庭教育质量问卷（FEQQ）评估家庭教育干预的实施效果。统计分析采用配对样本 t 检验和独立样本 t 检验。结果 实验组患者干预后SCAS总分由（45.3±5.6）分显著上升至（60.8±6.2）分（P<0.01），而对照组仅由（44.8±5.4）分轻微上升至（46.2±5.8）分，差异无统计学意义（P>0.05）。在核心维度上，实验组患者的情感识别得分从（14.2±2.1）分提高到（19.1±2.4）分（P<0.01），社会推理得分从（16.3±3.2）分提高到（22.5±3.5）分（P<0.01），意向理解得分从（14.8±2.3）分提高到（19.2±2.7）分（P<0.01）。对照组在这些方面的提高相对较小，且无统计学意义（P>0.05）。FEQQ 的结果显示，实验组在干预前的得分为 32.4±4.5，干预后显著增加到 46.7±5.3（P<0.01），而对照组仅从 33.0±4.2略微增加到 33.8±4.6（P>0.05）。实验结果表明，社会学干预家庭教育能显著提高患者的社会思维能力和家庭教育质量，为精神分裂症患者社会功能的恢复提供有效支持。讨论 研究结果表明，基于家庭教育社会学的方法对改善精神分裂症患者的社会思维障碍有显著效果，尤其是在情感识别、社会推理等关键能力方面。此外，家庭教育质量的提高也显著增强了护理人员在患者康复中的支持作用，为社会思维障碍的综合评估和干预提供了重要参考。在今后的临床工作中，可结合个性化的家庭教育方案，进一步优化精神分裂症患者的社会功能康复路径。基金编号：22JDSZ3017；23ZYJ0206。
{"title":"30 APPLICATION OF FAMILY EDUCATION SOCIOLOGY IN THE ASSESSMENT OF SOCIAL THINKING DISORDERS IN SCHIZOPHRENIA PATIENTS","authors":"Renqing Dai","doi":"10.1093/schbul/sbaf007.030","DOIUrl":"https://doi.org/10.1093/schbul/sbaf007.030","url":null,"abstract":"Background Schizophrenia patients often have significant social thinking disorders, manifested as significantly limited ability to understand the intentions, emotions, and social rules of others, which seriously affects the patient’s social function recovery. Sociology of family education has gradually been introduced into the field of mental illness intervention, emphasizing the improvement of patients’ social thinking and behavioral abilities through family interaction and educational models. Methods The study aims to explore the application effect of sociological methods of family education in the assessment of social thinking disorders in patients with schizophrenia, in order to provide innovative tools for clinical evaluation and guide the optimization of intervention measures. The study recruited 80 patients and their primary family caregivers who met the diagnostic criteria for schizophrenia. They were randomly divided into an experimental group and a control group, with 40 patients and caregivers in each group. On the basis of receiving routine psychiatric treatment, the experimental group participated in a 3-month family education intervention course, which included optimizing family interaction patterns, training social thinking, and simulating social situations; The control group only received routine psychiatric treatment. Before and after intervention, the Social Cognition Assessment Scale (SCAS) was used to assess patients’ social thinking abilities, including three dimensions: emotion recognition, social reasoning, and intention understanding. At the same time, the Family Education Quality Questionnaire (FEQQ) was used to evaluate the implementation effect of family education interventions. Statistical analysis uses paired sample t-test and independent sample t-test. Results The total score of the SCAS for the experimental group patients significantly increased from 45.3±5.6 to 60.8±6.2 after intervention (P&lt;0.01), while the control group only slightly increased from 44.8±5.4 to 46.2±5.8, with no statistically significant difference (P&gt;0.05). In the core dimensions, the emotional recognition score of the experimental group patients increased from 14.2±2.1 to 19.1±2.4 (P&lt;0.01), social reasoning increased from 16.3±3.2 to 22.5±3.5 (P&lt;0.01), and intention understanding increased from 14.8±2.3 to 19.2±2.7 (P&lt;0.01). The improvement of the control group in these dimensions was relatively small and not statistically significant (P&gt;0.05). The results of the FEQQ showed that the experimental group had a pre-intervention score of 32.4±4.5, which significantly increased to 46.7±5.3 after intervention (P&lt;0.01), while the control group only slightly increased from 33.0±4.2 to 33.8±4.6 (P&gt;0.05). The experimental results showed that sociological intervention in family education significantly improved patients’ social thinking ability and the quality of family education, providing effective s","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"28 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143435134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-18DOI: 10.1093/schbul/sbaf007.066
Zhili Gao, Chaojie Yang, Chaozhi Yang*
Background In recent years, the social cognitive impairment of schizophrenia has become a focus of research. Social cognition refers to an individual’s ability to recognize, understand, and influence the behavior of others in social interactions, and for people with schizophrenia, impairment of this ability severely affects their social functioning and quality of life. As a special group of adolescents with schizophrenia, their social cognitive impairment is more significant. As a non-drug therapy, aerobic exercise has been proved to have a positive effect on social cognitive function in a variety of neuropsychiatric diseases. The aim of this study was to explore the potential positive effects of aerobic exercise on social cognition in adolescents with schizophrenia, and to provide evidence for clinical intervention. Methods A randomized controlled trial (RCT) was performed. A randomized controlled trial (RCT) was performed on 60 patients diagnosed with juvenile schizophrenia in a hospital, and the selected patients were randomly divided into an experimental group and a control group, with 30 people in each group. The experimental group received aerobic exercise training for 30 minutes five times a week for 12 weeks, while the control group only did the same amount of stretching. Before and after the experiment, facial expression recognition, eye contact, social reasoning and other indicators of social cognitive ability were evaluated in the two groups. Results The results of social cognitive indicators before and after comparison between the experimental group and the control group are shown in Table 1. As can be seen from Table 1, in the facial expression recognition index, the average value of pre-test and post-test in the experimental group was 50.2 and 68.5. In the index of eye contact, the pretest average was 35.6, and the posttest average was 52. In the social reasoning index, the average value of pre-test was 42.3, and the average value of post-test was 59.8. Discussion The experimental group showed significant improvement in facial expression recognition, eye contact and social reasoning, which indicated that aerobic exercise had a positive effect on the social cognitive ability of adolescents with schizophrenia. This study not only provides a new idea and method for non-drug treatment of adolescents with schizophrenia, but also provides strong evidence for further exploring the impact of aerobic exercise on cognitive function in patients with mental illness. Future studies can further explore the effects of different exercise types, exercise intensity and exercise time on social cognition of adolescents with schizophrenia, as well as the combined application of aerobic exercise and other therapeutic means.
{"title":"66 THE POSITIVE EFFECT OF AEROBIC EXERCISE ON SOCIAL COGNITION IN ADOLESCENTS WITH SCHIZOPHRENIA","authors":"Zhili Gao, Chaojie Yang, Chaozhi Yang*","doi":"10.1093/schbul/sbaf007.066","DOIUrl":"https://doi.org/10.1093/schbul/sbaf007.066","url":null,"abstract":"Background In recent years, the social cognitive impairment of schizophrenia has become a focus of research. Social cognition refers to an individual’s ability to recognize, understand, and influence the behavior of others in social interactions, and for people with schizophrenia, impairment of this ability severely affects their social functioning and quality of life. As a special group of adolescents with schizophrenia, their social cognitive impairment is more significant. As a non-drug therapy, aerobic exercise has been proved to have a positive effect on social cognitive function in a variety of neuropsychiatric diseases. The aim of this study was to explore the potential positive effects of aerobic exercise on social cognition in adolescents with schizophrenia, and to provide evidence for clinical intervention. Methods A randomized controlled trial (RCT) was performed. A randomized controlled trial (RCT) was performed on 60 patients diagnosed with juvenile schizophrenia in a hospital, and the selected patients were randomly divided into an experimental group and a control group, with 30 people in each group. The experimental group received aerobic exercise training for 30 minutes five times a week for 12 weeks, while the control group only did the same amount of stretching. Before and after the experiment, facial expression recognition, eye contact, social reasoning and other indicators of social cognitive ability were evaluated in the two groups. Results The results of social cognitive indicators before and after comparison between the experimental group and the control group are shown in Table 1. As can be seen from Table 1, in the facial expression recognition index, the average value of pre-test and post-test in the experimental group was 50.2 and 68.5. In the index of eye contact, the pretest average was 35.6, and the posttest average was 52. In the social reasoning index, the average value of pre-test was 42.3, and the average value of post-test was 59.8. Discussion The experimental group showed significant improvement in facial expression recognition, eye contact and social reasoning, which indicated that aerobic exercise had a positive effect on the social cognitive ability of adolescents with schizophrenia. This study not only provides a new idea and method for non-drug treatment of adolescents with schizophrenia, but also provides strong evidence for further exploring the impact of aerobic exercise on cognitive function in patients with mental illness. Future studies can further explore the effects of different exercise types, exercise intensity and exercise time on social cognition of adolescents with schizophrenia, as well as the combined application of aerobic exercise and other therapeutic means.","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"13 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143443210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-18DOI: 10.1093/schbul/sbaf007.101
Chun Yang
Background In recent years, mental health issues have become a major public health concern worldwide, especially among college students. Schizophrenia is a serious mental health disorder that affects the lives and studies of many young people. Although most students do not develop the disease, stressful environments and academic burdens can be potential risk factors. Marketing students tend to experience greater academic and social stress, which may be related to early symptoms of schizophrenia, such as hallucinations and delusions. The purpose of this study is to investigate the mental health status of college students majoring in marketing, especially the related symptoms of schizophrenia, and to explore its relationship with academic pressure, social support and other variables, in order to provide theoretical support and practical suggestions for mental health intervention in colleges and universities. Methods The study selected the undergraduate students majoring in marketing in a university for investigation and analysis, and recruited 300 people. The research objects were analyzed into three groups, group A was the marketing professional group, A total of 100 people; Group B is a marketing major, and takes drug control, a total of 100 people; Group C is the other professional group. The Brief Psychiatric Rating Scale (BPRS) was used to assess the mental health status of the participants, while the symptoms related to schizophrenia were paid attention to. The students’ Stress was assessed by the Academic Stress Scale (ASS), and the additional group B was given conventional psychotropic drugs for treatment control. At the end of the intervention, the participants completed the same assessments again to assess changes in social functioning. In order to ensure the reliability of the data, the required evaluation tools were mixed during the study, and the statistical data were rigorously analyzed. SPSS software was used for data processing, and T-test and ANOVA were used to compare the differences between the two groups. Results The results show that the mental health status of marketing students is generally poor, especially in the score of BPRS, the average score of group A is 28.7 points, significantly higher than group B’s 23.5 points and group C’s 20.4 points. In addition, group A showed higher scores on symptoms associated with schizophrenia, with hallucinations and delusions at 4.3 and 3.8, respectively; Group B had scores of 2.8 and 2.5 on symptoms related to schizophrenia. The scores on symptoms related to schizophrenia in group C were 2.1 and 1.9. Discussion Studies have shown that marketing majors have significantly lower mental health outcomes than students in other disciplines, and are particularly at greater risk for symptoms related to schizophrenia. This shows that marketing students under the dual influence of academic pressure and insufficient social support, mental health problems need to be paid attention to. The findings of
{"title":"101 MENTAL HEALTH OF COLLEGE STUDENTS MAJORING IN MARKETING","authors":"Chun Yang","doi":"10.1093/schbul/sbaf007.101","DOIUrl":"https://doi.org/10.1093/schbul/sbaf007.101","url":null,"abstract":"Background In recent years, mental health issues have become a major public health concern worldwide, especially among college students. Schizophrenia is a serious mental health disorder that affects the lives and studies of many young people. Although most students do not develop the disease, stressful environments and academic burdens can be potential risk factors. Marketing students tend to experience greater academic and social stress, which may be related to early symptoms of schizophrenia, such as hallucinations and delusions. The purpose of this study is to investigate the mental health status of college students majoring in marketing, especially the related symptoms of schizophrenia, and to explore its relationship with academic pressure, social support and other variables, in order to provide theoretical support and practical suggestions for mental health intervention in colleges and universities. Methods The study selected the undergraduate students majoring in marketing in a university for investigation and analysis, and recruited 300 people. The research objects were analyzed into three groups, group A was the marketing professional group, A total of 100 people; Group B is a marketing major, and takes drug control, a total of 100 people; Group C is the other professional group. The Brief Psychiatric Rating Scale (BPRS) was used to assess the mental health status of the participants, while the symptoms related to schizophrenia were paid attention to. The students’ Stress was assessed by the Academic Stress Scale (ASS), and the additional group B was given conventional psychotropic drugs for treatment control. At the end of the intervention, the participants completed the same assessments again to assess changes in social functioning. In order to ensure the reliability of the data, the required evaluation tools were mixed during the study, and the statistical data were rigorously analyzed. SPSS software was used for data processing, and T-test and ANOVA were used to compare the differences between the two groups. Results The results show that the mental health status of marketing students is generally poor, especially in the score of BPRS, the average score of group A is 28.7 points, significantly higher than group B’s 23.5 points and group C’s 20.4 points. In addition, group A showed higher scores on symptoms associated with schizophrenia, with hallucinations and delusions at 4.3 and 3.8, respectively; Group B had scores of 2.8 and 2.5 on symptoms related to schizophrenia. The scores on symptoms related to schizophrenia in group C were 2.1 and 1.9. Discussion Studies have shown that marketing majors have significantly lower mental health outcomes than students in other disciplines, and are particularly at greater risk for symptoms related to schizophrenia. This shows that marketing students under the dual influence of academic pressure and insufficient social support, mental health problems need to be paid attention to. The findings of","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"64 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143435033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-18DOI: 10.1093/schbul/sbaf007.100
Biao Yang
Background Schizophrenia is a complex neurodevelopmental disorder with significant heterogeneity, complex etiology, and an increasing prevalence worldwide. It faces significant challenges in clinical diagnosis and treatment, with missed and misdiagnosed cases occurring from time to time. Improving the diagnostic accuracy of schizophrenia is a prerequisite for early intervention and an important aspect of improving patients’ quality of life and reducing mortality rates. Studies have shown that the pathogenesis of schizophrenia may be related to changes in brain structure and tissue, and the use of neuroimaging technology can effectively provide auxiliary interventions for clinical diagnosis. With the development of machine learning algorithms in recent years, achieving automated medical diagnosis has become a current research hotspot. Considering the neglect of global features in traditional convolutional neural networks for extracting neuroimaging features, research proposes to improve them by using an adaptive asymmetric convolutional network (ACNet) to improve the accuracy of Magnetic Resonance Imaging (MRI) image classification and provide clinical intervention for the recognition of schizophrenia. Methods The study collected MRI image data of schizophrenia patients and healthy control subjects from public datasets and a tertiary hospital. The data was preprocessed using Matlab tools, including image slicing, weighted averaging, and extraction of texture features from gray level co-occurrence matrix. Afterwards, based on the convolutional neural network structure, sparse interaction mechanism and attention mechanism are introduced to enhance feature extraction ability and classification performance. Train the ACNet model using preprocessed MRI image data, and evaluate diagnostic results and classification accuracy using metrics such as accuracy and area under the curve. Results In Table 1, the improved model can effectively improve the classification accuracy of MRI images and the recognition accuracy of schizophrenia, with accuracy rates exceeding 94%, and the application effect is significant. Discussion Improving the MRI image classification method of ACNet provides a new approach for computer-aided diagnosis of schizophrenia. The model has shown significant accuracy in feature extraction and classification performance, with values exceeding 90%. MRI, as a non-invasive brain imaging technique, is widely used in brain examinations due to its ability to achieve arbitrary slicing in multiple directions. The core symptoms of schizophrenia include hallucinations, delusions, disordered thinking, and emotional apathy. These symptoms typically last for at least six months and severely affect the patient’s daily life and social functioning. The application of MRI in the identification of schizophrenia is becoming increasingly widespread. With the help of machine learning and deep learning techniques, MRI images can be automatically analyzed and clas
{"title":"100 MRI IMAGE CLASSIFICATION AND SCHIZOPHRENIA RECOGNITION BASED ON IMPROVED ACNET","authors":"Biao Yang","doi":"10.1093/schbul/sbaf007.100","DOIUrl":"https://doi.org/10.1093/schbul/sbaf007.100","url":null,"abstract":"Background Schizophrenia is a complex neurodevelopmental disorder with significant heterogeneity, complex etiology, and an increasing prevalence worldwide. It faces significant challenges in clinical diagnosis and treatment, with missed and misdiagnosed cases occurring from time to time. Improving the diagnostic accuracy of schizophrenia is a prerequisite for early intervention and an important aspect of improving patients’ quality of life and reducing mortality rates. Studies have shown that the pathogenesis of schizophrenia may be related to changes in brain structure and tissue, and the use of neuroimaging technology can effectively provide auxiliary interventions for clinical diagnosis. With the development of machine learning algorithms in recent years, achieving automated medical diagnosis has become a current research hotspot. Considering the neglect of global features in traditional convolutional neural networks for extracting neuroimaging features, research proposes to improve them by using an adaptive asymmetric convolutional network (ACNet) to improve the accuracy of Magnetic Resonance Imaging (MRI) image classification and provide clinical intervention for the recognition of schizophrenia. Methods The study collected MRI image data of schizophrenia patients and healthy control subjects from public datasets and a tertiary hospital. The data was preprocessed using Matlab tools, including image slicing, weighted averaging, and extraction of texture features from gray level co-occurrence matrix. Afterwards, based on the convolutional neural network structure, sparse interaction mechanism and attention mechanism are introduced to enhance feature extraction ability and classification performance. Train the ACNet model using preprocessed MRI image data, and evaluate diagnostic results and classification accuracy using metrics such as accuracy and area under the curve. Results In Table 1, the improved model can effectively improve the classification accuracy of MRI images and the recognition accuracy of schizophrenia, with accuracy rates exceeding 94%, and the application effect is significant. Discussion Improving the MRI image classification method of ACNet provides a new approach for computer-aided diagnosis of schizophrenia. The model has shown significant accuracy in feature extraction and classification performance, with values exceeding 90%. MRI, as a non-invasive brain imaging technique, is widely used in brain examinations due to its ability to achieve arbitrary slicing in multiple directions. The core symptoms of schizophrenia include hallucinations, delusions, disordered thinking, and emotional apathy. These symptoms typically last for at least six months and severely affect the patient’s daily life and social functioning. The application of MRI in the identification of schizophrenia is becoming increasingly widespread. With the help of machine learning and deep learning techniques, MRI images can be automatically analyzed and clas","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"83 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143435080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-18DOI: 10.1093/schbul/sbaf007.063
Yanhui Wang, Na Wei*
Background In recent years, more and more attention has been paid to the exploration of non-drug treatment for schizophrenia. Among them, color therapy, as a new treatment method, shows a positive impact on the possible treatment of schizophrenia. Color therapy uses the psychological effect of color on emotion and behavior to improve patients’ mental health by triggering emotional response and regulating behavior. Therefore, the purpose of this study is to evaluate the effect of color therapy on cognitive function of schizophrenic patients in fashion design. By examining the influence of specific color matching in clothing, we hope to provide more scientific basis for the role of environmental stimulation in mental health management and rehabilitation. Methods 120 patients diagnosed as schizophrenia were included in the study, and were randomly assigned to the control group or the experimental group. The control group received routine mental health care, including medication, psychosocial intervention and regular medical monitoring. The experimental group received routine nursing care and additionally introduced color therapy. Participants in the experimental group were provided with a set of specially designed colorful clothes, and the color selection of these clothes was based on the color psychology principle that was proved in previous studies to stimulate positive emotions and alleviate anxiety. The cognitive function of the two groups was evaluated by using the MATRICS Consensus Cognitive Battery (MCCB), including the tests of attention, memory and executive function. Data were collected at baseline, immediately after intervention and three months later. Results The experiment showed that the cognitive function of the experimental group was significantly improved compared with the control group (P<0.05). In the experimental group, the attention (P<0.05) and working memory (P<0.05) were significantly improved. This improvement was maintained during the three-month follow-up, indicating the lasting effect of color therapy intervention. Visual scanning path analysis shows that compared with the control group, the patients in the experimental group are more focused and efficient in visual attention mode. The specific results are shown in Table 1. Discussion The results show that the color therapy applied in fashion design can significantly improve the cognitive function of schizophrenic patients. The use of specific colors in clothing may provide a non-invasive and cost-effective way to improve cognitive performance. The results support the integration of color therapy into the treatment plan of schizophrenia, which may supplement traditional drug and psychological intervention. Future research should explore the long-term effect of color therapy and its influence on all aspects of schizophrenia, including emotional symptoms and social functions. Funding No. 18YJC760091; No. 22BGL067; No. 23FYSB011.
{"title":"63 THE IMPACT OF COLOR THERAPY IN FASHION DESIGN ON COGNITIVE FUNCTIONS OF PATIENTS WITH SCHIZOPHRENIA","authors":"Yanhui Wang, Na Wei*","doi":"10.1093/schbul/sbaf007.063","DOIUrl":"https://doi.org/10.1093/schbul/sbaf007.063","url":null,"abstract":"Background In recent years, more and more attention has been paid to the exploration of non-drug treatment for schizophrenia. Among them, color therapy, as a new treatment method, shows a positive impact on the possible treatment of schizophrenia. Color therapy uses the psychological effect of color on emotion and behavior to improve patients’ mental health by triggering emotional response and regulating behavior. Therefore, the purpose of this study is to evaluate the effect of color therapy on cognitive function of schizophrenic patients in fashion design. By examining the influence of specific color matching in clothing, we hope to provide more scientific basis for the role of environmental stimulation in mental health management and rehabilitation. Methods 120 patients diagnosed as schizophrenia were included in the study, and were randomly assigned to the control group or the experimental group. The control group received routine mental health care, including medication, psychosocial intervention and regular medical monitoring. The experimental group received routine nursing care and additionally introduced color therapy. Participants in the experimental group were provided with a set of specially designed colorful clothes, and the color selection of these clothes was based on the color psychology principle that was proved in previous studies to stimulate positive emotions and alleviate anxiety. The cognitive function of the two groups was evaluated by using the MATRICS Consensus Cognitive Battery (MCCB), including the tests of attention, memory and executive function. Data were collected at baseline, immediately after intervention and three months later. Results The experiment showed that the cognitive function of the experimental group was significantly improved compared with the control group (P&lt;0.05). In the experimental group, the attention (P&lt;0.05) and working memory (P&lt;0.05) were significantly improved. This improvement was maintained during the three-month follow-up, indicating the lasting effect of color therapy intervention. Visual scanning path analysis shows that compared with the control group, the patients in the experimental group are more focused and efficient in visual attention mode. The specific results are shown in Table 1. Discussion The results show that the color therapy applied in fashion design can significantly improve the cognitive function of schizophrenic patients. The use of specific colors in clothing may provide a non-invasive and cost-effective way to improve cognitive performance. The results support the integration of color therapy into the treatment plan of schizophrenia, which may supplement traditional drug and psychological intervention. Future research should explore the long-term effect of color therapy and its influence on all aspects of schizophrenia, including emotional symptoms and social functions. Funding No. 18YJC760091; No. 22BGL067; No. 23FYSB011.","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"88 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143435279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-18DOI: 10.1093/schbul/sbaf007.107
Xinhua Guo, Xiang Zhao*
Background Cognitive deficits are a core feature of schizophrenia, affecting multiple domains such as attention, memory, and executive functions. These impairments significantly contribute to the disability associated with the disorder and can hinder daily functioning and rehabilitation efforts. Recent research has suggested that cognitive remediation therapy, including language training, may improve cognitive outcomes in schizophrenia. However, the extent to which English teaching and language training can enhance cognitive function in schizophrenia patients remains unclear. This study aims to investigate whether English teaching and language training can improve cognitive functions in schizophrenia patients and explore the underlying mechanisms. Methods A total of 300 schizophrenia patients were randomly assigned to either an English teaching and language training group (n=150) or a control group (n=150). The intervention group participated in a 12-week program that included English language instruction and cognitive exercises designed to enhance language skills. The control group received standard care without additional language training. Cognitive function was assessed using the MATRICS Consensus Cognitive Battery (MCCB), which measures six cognitive domains: attention, memory, language, reasoning and problem-solving, social cognition, and motor skills. Pre- and post-intervention assessments were conducted to evaluate changes in cognitive performance. Results Statistical analysis was performed using a mixed-design ANOVA with group (intervention vs. control) as the between-subjects factor and time (pre- vs. post-intervention) as the within-subjects factor. Results showed a significant interaction effect for language (F (1, 298) = 4.56, P = 0.034, η² = 0.015) and reasoning and problem-solving (F (1, 298) = 5.21, P = 0.023, η² = 0.017). Post-hoc tests revealed that the intervention group demonstrated significant improvements in language (P = 0.012, d = 0.68) and reasoning and problem-solving (P = 0.011, d = 0.71) compared to the control group. No significant differences were observed in the other cognitive domains. Additionally, a correlation analysis indicated a moderate positive correlation between language improvement and social cognition (r = 0.45, P < 0.001), suggesting that language training may have broader cognitive benefits. Discussion The research results indicate that English teaching and language training have a significant improvement effect on specific cognitive domains of patients with schizophrenia, especially in language and reasoning problem-solving abilities. The intervention group showed a moderate improvement in the language domain with an effect size of 0.68 and in the reasoning problem-solving domain with an effect size of 0.71. This discovery supports the potential value of incorporating language training into cognitive correction therapy. Future research should further explore the long-term effects of language tr
{"title":"107 THE IMPACT OF ENGLISH TEACHING AND LANGUAGE TRAINING ON COGNITIVE FUNCTION IN SCHIZOPHRENIA PATIENTS: AN EMPIRICAL STUDY","authors":"Xinhua Guo, Xiang Zhao*","doi":"10.1093/schbul/sbaf007.107","DOIUrl":"https://doi.org/10.1093/schbul/sbaf007.107","url":null,"abstract":"Background Cognitive deficits are a core feature of schizophrenia, affecting multiple domains such as attention, memory, and executive functions. These impairments significantly contribute to the disability associated with the disorder and can hinder daily functioning and rehabilitation efforts. Recent research has suggested that cognitive remediation therapy, including language training, may improve cognitive outcomes in schizophrenia. However, the extent to which English teaching and language training can enhance cognitive function in schizophrenia patients remains unclear. This study aims to investigate whether English teaching and language training can improve cognitive functions in schizophrenia patients and explore the underlying mechanisms. Methods A total of 300 schizophrenia patients were randomly assigned to either an English teaching and language training group (n=150) or a control group (n=150). The intervention group participated in a 12-week program that included English language instruction and cognitive exercises designed to enhance language skills. The control group received standard care without additional language training. Cognitive function was assessed using the MATRICS Consensus Cognitive Battery (MCCB), which measures six cognitive domains: attention, memory, language, reasoning and problem-solving, social cognition, and motor skills. Pre- and post-intervention assessments were conducted to evaluate changes in cognitive performance. Results Statistical analysis was performed using a mixed-design ANOVA with group (intervention vs. control) as the between-subjects factor and time (pre- vs. post-intervention) as the within-subjects factor. Results showed a significant interaction effect for language (F (1, 298) = 4.56, P = 0.034, η² = 0.015) and reasoning and problem-solving (F (1, 298) = 5.21, P = 0.023, η² = 0.017). Post-hoc tests revealed that the intervention group demonstrated significant improvements in language (P = 0.012, d = 0.68) and reasoning and problem-solving (P = 0.011, d = 0.71) compared to the control group. No significant differences were observed in the other cognitive domains. Additionally, a correlation analysis indicated a moderate positive correlation between language improvement and social cognition (r = 0.45, P &lt; 0.001), suggesting that language training may have broader cognitive benefits. Discussion The research results indicate that English teaching and language training have a significant improvement effect on specific cognitive domains of patients with schizophrenia, especially in language and reasoning problem-solving abilities. The intervention group showed a moderate improvement in the language domain with an effect size of 0.68 and in the reasoning problem-solving domain with an effect size of 0.71. This discovery supports the potential value of incorporating language training into cognitive correction therapy. Future research should further explore the long-term effects of language tr","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"51 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143435486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-18DOI: 10.1093/schbul/sbaf007.017
Shaoyu Zhang
Background Anxiety disorder is a common psychological disorder among adolescents, manifested as excessive tension, anxiety and physical symptoms. Long-term anxiety may have a profound impact on mental health and social function. Music therapy has received attention in the field of mental health in recent years due to its non-invasive and soothing effects. Piano music therapy, by combining the dual modes of playing and listening, can not only directly relieve anxiety, but also have a positive impact on long-term mental health by activating brain neural networks. Methods The study recruited 60 adolescent patients diagnosed with anxiety disorders and randomly divided them into an intervention group and a control group, with 30 people in each group. The intervention group received piano music therapy for 16 weeks, three times a week, each time including 30 minutes of piano playing training and 30 minutes of music listening. The repertoire was selected by the therapist according to the individual needs of the patients. The control group received a standard mental health education course once a week, 60 minutes each time. Anxiety symptoms were assessed by the Generalized Anxiety Disorder 7 Item Scale (GAD-7), depression levels were measured using the Self-Rating Depression Scale (SDS), and psychological resilience was measured using the Connor-Davidson Resilience Scale (CD-RISC). All scales were measured once before the intervention, after the intervention, and one year after the intervention. Results The improvement in anxiety, depression and psychological resilience scores of the intervention group was significantly better than that of the control group (P<0.01). After the intervention, the GAD-7 score of the intervention group dropped from an average of 16.4 ± 3.2 points to 9.1 ± 2.6 points, while that of the control group only dropped from 16.2 ± 3.1 points to 13.5 points. The SDS score showed that the intervention group dropped from 54.7 ± 5.3 points to 42.3 ± 4.7 points, while the control group dropped from 54.1 ± 5.1 points to 49.6 ± 4.9 points. In terms of psychological flexibility, the CD-RISC score showed that the intervention group improved from 55.2 ± 6.4 points before the intervention to 70.8 ± 5.7 points, while the control group only improved from 54.8 ± 6.1 points to 61.4 ± 5.8 points. One year after the intervention, the GAD-7 score of the intervention group was maintained at 9.5 ± 2.7 points, the SDS score was 43.1 ± 4.5 points, and the CD-RISC score was 69.6 ± 5.9 points, showing significant long-term effects, while the control group’s The scores were close to the pre-intervention levels, which were 15.1 ± 3.0 points, 51.8 ± 5.0 points and 58.3 ± 6.2 points respectively. Discussion Piano music therapy significantly improved the anxiety and depressive symptoms of adolescent patients with anxiety disorder, while significantly improving psychological flexibility, and the effect was still maintained one year after the intervention
{"title":"17 LONG-TERM EFFECTS OF PIANO MUSIC THERAPY ON THE MENTAL HEALTH OF ADOLESCENTS WITH ANXIETY DISORDERS","authors":"Shaoyu Zhang","doi":"10.1093/schbul/sbaf007.017","DOIUrl":"https://doi.org/10.1093/schbul/sbaf007.017","url":null,"abstract":"Background Anxiety disorder is a common psychological disorder among adolescents, manifested as excessive tension, anxiety and physical symptoms. Long-term anxiety may have a profound impact on mental health and social function. Music therapy has received attention in the field of mental health in recent years due to its non-invasive and soothing effects. Piano music therapy, by combining the dual modes of playing and listening, can not only directly relieve anxiety, but also have a positive impact on long-term mental health by activating brain neural networks. Methods The study recruited 60 adolescent patients diagnosed with anxiety disorders and randomly divided them into an intervention group and a control group, with 30 people in each group. The intervention group received piano music therapy for 16 weeks, three times a week, each time including 30 minutes of piano playing training and 30 minutes of music listening. The repertoire was selected by the therapist according to the individual needs of the patients. The control group received a standard mental health education course once a week, 60 minutes each time. Anxiety symptoms were assessed by the Generalized Anxiety Disorder 7 Item Scale (GAD-7), depression levels were measured using the Self-Rating Depression Scale (SDS), and psychological resilience was measured using the Connor-Davidson Resilience Scale (CD-RISC). All scales were measured once before the intervention, after the intervention, and one year after the intervention. Results The improvement in anxiety, depression and psychological resilience scores of the intervention group was significantly better than that of the control group (P&lt;0.01). After the intervention, the GAD-7 score of the intervention group dropped from an average of 16.4 ± 3.2 points to 9.1 ± 2.6 points, while that of the control group only dropped from 16.2 ± 3.1 points to 13.5 points. The SDS score showed that the intervention group dropped from 54.7 ± 5.3 points to 42.3 ± 4.7 points, while the control group dropped from 54.1 ± 5.1 points to 49.6 ± 4.9 points. In terms of psychological flexibility, the CD-RISC score showed that the intervention group improved from 55.2 ± 6.4 points before the intervention to 70.8 ± 5.7 points, while the control group only improved from 54.8 ± 6.1 points to 61.4 ± 5.8 points. One year after the intervention, the GAD-7 score of the intervention group was maintained at 9.5 ± 2.7 points, the SDS score was 43.1 ± 4.5 points, and the CD-RISC score was 69.6 ± 5.9 points, showing significant long-term effects, while the control group’s The scores were close to the pre-intervention levels, which were 15.1 ± 3.0 points, 51.8 ± 5.0 points and 58.3 ± 6.2 points respectively. Discussion Piano music therapy significantly improved the anxiety and depressive symptoms of adolescent patients with anxiety disorder, while significantly improving psychological flexibility, and the effect was still maintained one year after the intervention ","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"80 1 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143435081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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