小组认知行为疗法对早发型精神分裂症患者的影响

IF 1.3 Q3 PSYCHIATRY Alpha psychiatry Pub Date : 2024-06-01 DOI:10.5152/alphapsychiatry.2024.241524
Jing Hu, Bojing Geng, Yu Song, Xujing Zhang, Mengdi Zhou, Ping Zhang, Hongjing Song, Keqing Li, Xin Zhang
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摘要

目的:研究小组认知行为疗法对早期精神分裂症患者一对一治疗的临床效果:研究小组认知行为治疗与一对一治疗对早期精神分裂症患者的临床效果:选取2020年9月-2023年9月我院精神科收治的133例早发精神分裂症患者,根据是否进行团体行为认知治疗分为对照组和观察组。收集患者的一般人口统计学资料,采用倾向得分匹配法平衡两组患者的基线资料。匹配后比较两组患者的正负综合征量表、个人和社会表现量表、疾病严重程度(SI)和疗效指数(EI):经过配对,72 名患者被纳入研究。与对照组相比,观察组的 PANSS 评分在干预后有所下降(P > .05)。两组患者在治疗前后的得分均有所下降。观察组治疗后正负综合征量表降低率和总反应率均有所提高(P P = .002),而 EI 评分则有所提高(P 结论:小组认知行为疗法对患者的心理健康有益:团体认知行为疗法有利于改善精神症状和疾病严重程度、社会功能和疗效,值得提倡和推广。
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Effect of Group Cognitive Behavioral Therapy on Patients with Early-Onset Schizophrenia.

Objective: To study the clinical effect of group cognitive behavioral therapy to one-on-one treatment on patients with early-onset schizophrenia.

Methods: Totally,133 patients with early-onset schizophrenia admitted to the Department of Psychiatry of our hospital from September 2020 to September 2023 were selected and divided into a control group and an observation group according to whether group behavioral cognitive therapy was performed. The general demographic data of the patients were collected, and the propensity score matching method was used to balance the baseline data of the 2 groups. The Positive and negative syndrome scale, Personal and Social Performance Scale, severity of illness (SI), and efficacy index (EI) were compared between the 2 groups after matching.

Results: After matching, 72 patients were included in our study. Compared to the control group, observation group PANSS score were decreased including after intervention (P > .05). Both groups showed a decrease between before and after treatments. Positive and Negative Syndrome Scale reduction rate after treatment and total response rate were increased in the observation group (P <.001). Personal and Social Performance Scale of the Clinical Global Impression (CGI) scores were higher than those of the control group. In the CGI scores, there is a significant difference that SI scores were lower in the observation group (P = .002), while EI scores were higher (P <.001).

Conclusion: Group cognitive behavioral therapy is beneficial to the improvement of mental symptoms and disease severity, social function, and curative effect, which is advocated and popularized.

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