心理动机训练对改善精神分裂症患者社交技能和情绪调节的效果

Saida El-Azzab, Shimaa Ali, Basma H. Othman
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引用次数: 2

摘要

背景:精神分裂症是一种以缺乏对现实和洞察力的理解为特征的精神疾病,可在严重精神障碍的症状中发现,如妄想、幻觉、混乱的言语和混乱的行为,包括造成社会危害的阴性症状。心理教育干预,如心理动机训练,是可以给予精神分裂症患者的举措之一,目的是提高患者的社会化和情绪调节技能,以及患者适应环境的能力。目的:探讨心理动机训练在提高精神分裂症患者社交技能和情绪调节能力方面的效果。设计:采用准实验设计(测前/测后单组型)。样本:本研究目的样本为60例精神分裂症患者。环境:研究在El kasr El Ainy精神病和成瘾医院进行。数据收集工具为:社会人口学和医学数据表,可观察性社会认知评定量表旨在调查社会认知的构建;采用多伦多述情障碍量表评估识别和描述情绪的困难程度;使用简短负面症状量表测量社交退缩、情绪退缩或情绪范围缩小、自暴自弃、痛症和快感缺乏;情绪调节问卷测量被调查者的情绪调节倾向。该项目由14个环节组成。结果:研究结果显示,在实施前、实施后及随访中,观察到的社会认知、情绪识别与描述、消极症状自我评价、情绪调节等方面存在高度统计学差异。结论:心理动机训练对精神分裂症患者的社交技能和情绪认知有显著的积极作用。此外,该培训计划在改善精神分裂症患者的阴性症状方面也很有效。建议:本研究建议,在现代医院环境中,增加精神科心理健康护士和其他团队成员的心理教育和培训计划,以帮助患者获得社交技能和控制不适当的情绪,以参与与他人的适应性关系。
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Effectiveness of Psycho-Motivational Training on Improving Social Skills and Emotional Regulation in Patients with Schizophrenia
: Background : Schizophrenia is a psychotic condition marked by a lack of understanding of reality and insight, that can be found in symptoms of severe mental disorders such as delusions, hallucinations, chaotic speech, and chaotic behavior, including negative symptoms that cause societal harm. Psycho-educational interventions such as psycho-motivational training are one of the initiatives that can be given to patients with schizophrenia the aim of increasing patient socialization and emotional regulation skills as well as patients are able to adapt to their environment. Aim: To study the effectiveness of psycho-motivational training program in improving social skills and emotional regulation in patients with schizophrenia. Design: A quasi-experimental design (pre/posttest single group type) was used. Sample: A purposive sample of sixty patients with schizophrenia participated in this study. Setting: the study was carried out in El kasr El Ainy Psychiatric and Addiction hospital. Tools for data collection were: Sociodemographic and Medical data sheet, Observable Social Cognition Rating Scale was aimed to investigate the construction of social cognition; Toronto Alexithymia Scale was used to assess the difficulty of recognizing and describing emotions; Brief Negative Symptom Scale was used for measuring social withdrawal, emotional withdrawal or diminished emotional range, avolition, alogia, and anhedonia; and Emotion Regulation Questionnaire was used to measure respondents’ tendency to regulate their emotions. The program consisted of 14 sessions. Results: The study results showed that there were highly statistically significant differences between the observable social cognition, identifying and describing emotions, self-evaluation of negative symptoms, and emotion regulation through before, after, and follow-up implementation of the program. Conclusion: The findings revealed that psycho-motivational training for patients with schizophrenia had a great positive effect on improving social skills, and emotional recognition . As well as the training program was effective in improving negative symptoms among patients with schizophrenia. Recommendation: The study recommended that the essential need for increment empowered psychiatric mental health nurses and other team members with psychoeducation and training programs to help patients acquire social skills and control inappropriate emotions for engaging in adaptive relationships with others in the modern hospitals’ environment.
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