中国传统文化阅读对精神分裂症患者认知功能的治疗分析

IF 4.8 1区 医学 Q1 PSYCHIATRY Schizophrenia Bulletin Pub Date : 2025-02-18 DOI:10.1093/schbul/sbaf007.033
Fengtao Liu
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Scholars have found that reading can stimulate the cerebral cortex, improve thinking ability and memory, which has a positive effect on maintaining and improving the brain function of psychiatric patients. Therefore, the study will explore the therapeutic effect of traditional Chinese cultural reading on cognitive function in patients with schizophrenia. Methods The study selected 74 patients with schizophrenia admitted to a tertiary hospital in a certain city from April 2021 to May 2023 as the research subjects. Randomly divide these patients into an observation group and a control group, with 37 patients in each group. The control group patients received routine care, while the observation group patients received an additional 3 hours of Chinese traditional culture reading every day on the basis of routine care. The experiment lasts for three months. Use the Scale for Assessment of Negative Symptoms (SANS) to evaluate the severity of patients’ symptoms before and after treatment, with higher scores indicating more severe symptoms. And use the Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) to score the patient’s cognitive function, with higher scores indicating better cognitive function. SPSS 24.0 software was used for statistical analysis of the data, with P<0.05 indicating statistically significant differences. Results There was no significant difference in clinical general data between the two groups of patients (P>0.05), so a comparison can be made. Before treatment, there was no significant difference in LOTCA scores between the two groups of patients (P>0.05). After three months of treatment, the LOTCA score of the observation group was 64.24 ± 4.57, significantly higher than that of the control group patients (P<0.05). 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引用次数: 0

摘要

精神分裂症是一种以感觉、认知和情绪障碍为特征的严重精神疾病。它通常发生在年轻人和中年人身上,会给病人、他们的家庭和社会带来巨大的压力。精神分裂症还可能导致睡眠障碍、注意力不集中和记忆力丧失等症状,进而影响患者的大脑功能和认知能力。目前精神分裂症的治疗主要依靠服用抗精神病药物,但需要长期用药,注意避免药物依赖和副作用。因此,研究无药物副作用的精神分裂症治疗新方法具有重要意义。学者们发现,阅读可以刺激大脑皮层,提高思维能力和记忆力,对维持和改善精神病患者的脑功能有积极作用。因此,本研究将探讨中国传统文化阅读对精神分裂症患者认知功能的治疗效果。方法选择2021年4月至2023年5月某市某三级医院收治的74例精神分裂症患者作为研究对象。将患者随机分为观察组和对照组,每组37例。对照组患者给予常规护理,观察组患者在常规护理的基础上每天增加3小时的中国传统文化阅读。实验持续三个月。使用阴性症状评估量表(SANS)评估患者治疗前后症状的严重程度,得分越高表示症状越严重。并采用Loewenstein Occupational Therapy Cognitive Assessment (LOTCA)对患者的认知功能进行评分,得分越高表明认知功能越好。采用SPSS 24.0软件对数据进行统计学分析,以P&;lt;0.05表示差异有统计学意义。结果两组患者的临床一般资料比较,差异无统计学意义(P>0.05),可进行比较。治疗前,两组患者LOTCA评分比较,差异无统计学意义(P>0.05)。治疗3个月后,观察组患者LOTCA评分为64.24±4.57分,显著高于对照组患者(P<0.05)。治疗前,对照组患者的SANS评分为67.05±5.97,观察组患者的SANS评分为67.12±5.34,差异无统计学意义(P>0.05)。治疗3个月后,观察组患者的SANS评分为35.48±2.02,显著低于对照组患者(P<0.05)。随着现代医学模式的转变,精神分裂症患者的临床治疗已不再局限于药物控制症状。实验结果表明,阅读中国传统文化可以激活患者的思维,在阅读过程中激发患者的思维,有效改善精神分裂症患者的负性症状和认知功能。研究结果可为无药物副作用的精神分裂症治疗提供新的选择。
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33 ANALYSIS OF THE TREATMENT OF COGNITIVE FUNCTION IN SCHIZOPHRENIA PATIENTS THROUGH TRADITIONAL CHINESE CULTURE READING
Background Schizophrenia is a serious mental illness characterized by sensory, cognitive, and emotional disorders. It often occurs in young and middle-aged individuals and can cause significant stress to the patient, their family, and society. Schizophrenia may also lead to symptoms such as sleep disorders, lack of concentration, and memory loss, which in turn affect the patient’s brain function and cognitive abilities. At present, the treatment of schizophrenia mainly relies on taking antipsychotic drugs, but it requires long-term medication and attention should be paid to avoiding drug dependence and side effects. Therefore, researching new treatment methods for schizophrenia without drug side effects is of great significance. Scholars have found that reading can stimulate the cerebral cortex, improve thinking ability and memory, which has a positive effect on maintaining and improving the brain function of psychiatric patients. Therefore, the study will explore the therapeutic effect of traditional Chinese cultural reading on cognitive function in patients with schizophrenia. Methods The study selected 74 patients with schizophrenia admitted to a tertiary hospital in a certain city from April 2021 to May 2023 as the research subjects. Randomly divide these patients into an observation group and a control group, with 37 patients in each group. The control group patients received routine care, while the observation group patients received an additional 3 hours of Chinese traditional culture reading every day on the basis of routine care. The experiment lasts for three months. Use the Scale for Assessment of Negative Symptoms (SANS) to evaluate the severity of patients’ symptoms before and after treatment, with higher scores indicating more severe symptoms. And use the Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) to score the patient’s cognitive function, with higher scores indicating better cognitive function. SPSS 24.0 software was used for statistical analysis of the data, with P&lt;0.05 indicating statistically significant differences. Results There was no significant difference in clinical general data between the two groups of patients (P&gt;0.05), so a comparison can be made. Before treatment, there was no significant difference in LOTCA scores between the two groups of patients (P&gt;0.05). After three months of treatment, the LOTCA score of the observation group was 64.24 ± 4.57, significantly higher than that of the control group patients (P&lt;0.05). Before treatment, the SANS score of the control group patients was 67.05 ± 5.97, while the SANS score of the observation group was 67.12 ± 5.34, with no statistically significant difference (P&gt;0.05). After three months of treatment, the SANS score of the observation group was 35.48 ± 2.02, significantly lower than that of the control group patients (P&lt;0.05). Discussion With the transformation of modern medical models, the clinical treatment of schizophrenia patients is no longer limited to drug control of symptoms. The experimental results show that reading traditional Chinese culture can activate patients’ thinking, stimulate their thinking during reading, and effectively improve the negative symptoms and cognitive function of patients with schizophrenia. The research results can provide a new option for the treatment of schizophrenia without drug side effects.
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来源期刊
Schizophrenia Bulletin
Schizophrenia Bulletin 医学-精神病学
CiteScore
11.40
自引率
6.10%
发文量
163
审稿时长
4-8 weeks
期刊介绍: Schizophrenia Bulletin seeks to review recent developments and empirically based hypotheses regarding the etiology and treatment of schizophrenia. We view the field as broad and deep, and will publish new knowledge ranging from the molecular basis to social and cultural factors. We will give new emphasis to translational reports which simultaneously highlight basic neurobiological mechanisms and clinical manifestations. Some of the Bulletin content is invited as special features or manuscripts organized as a theme by special guest editors. Most pages of the Bulletin are devoted to unsolicited manuscripts of high quality that report original data or where we can provide a special venue for a major study or workshop report. Supplement issues are sometimes provided for manuscripts reporting from a recent conference.
期刊最新文献
Increased Reporting of Speech in Degraded Stimuli in Schizophrenia: A Case Control Study with Sine-Wave-Speech. Who Should Decide the Outcome for a Clinical Trial? Comparing the Views of Stakeholders on Intervention Benefit Using Multi-Criteria Decision Modelling of Cognitive Remediation. The Readability of Patient-Reported Measures in Early Psychosis. The Immediate and Sustained Effects of Multi-Session Biparietal Transcranial Direct Current Stimulation on Insight in Schizophrenia. Childhood Adversities and Psychosis Across Populations: Insights From the 6-Country EU-GEI Study.
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