摘要
目的探讨认知-存在干预对社区慢性精神分裂症患者的康复疗效。方法将30例日间康复照料机构的慢性精神分裂症患者随机分为干预组(n=15)和对照组(n=15),干预组予以认知-存在团体干预,对照组仅予一般的社区随访。在干预前后分别采用自尊量表(SES)、一般健康问卷(GHQ-20)、生命意义源量表(SML)、生命意义感量表(MLQ)进行评定。结果干预前两组SES、GHQ-20、SML、MLQ评分差异无显著性;干预后,干预组GHQ-20、SML、MLQ总分高于对照组(t=3.05,3.08,2.58;P均<0.05);干预组GHQ-20中抑郁和自我肯定两项因子评分高于对照组(t=2.45,3.17;P均<0.05);干预组SML中自我超越意义因子评分明显高于对照组(t=3.99,P<0.001);干预组MLQ中追寻意义感因子评分明显高于对照组(t=3.77,P<0.001)。结论认知-存在团体对社区慢性精神分裂症患者降低抑郁水平、提升自我肯定、意义感,促进病人康复有积极作用。
Objective To investigate the efficacy of cognitive-existential group intervention of chronic schizophrenics in community.Methods A total of 30 schizophrenic patients in community rehabilitation day services were randomly divided into intervention group and control group,receiving either cognitive-existential group intervention or general community follow-up.Before and after the intervention,all patients were assessed by Self-Esteem Scale（SES）,General Health Questionnaire（GHQ20）,scale for Sources of Meaning in life（SML）and scale for Meaning in Life Questionnaire（MLQ）.Results The total score and factor scores of SES,GHQ-20,SML MLQ had no significant differences between two groups before intervention;At the end of the intervention,the total scores of GHQ-20,SML,MLQ in intervention group increased much more than those in control group（t=3.05,3.08,2.58;P0.05）;GHQ-20 factor scores of depression and sense of adequacy in intervention group increased than those in control group（t=2.45,3.17;P0.05）;The self-transcendence factor score of SML was significantly higher in intervention group than control group（t=3.99,P0.001）;MLQ factor score of search for meaning in intervention group increased much more than that in control group（t=3.77,P0.001）.Conclusion For patients with schizophrenia,cognitive-existential group intervention has some positive effect on relieving the level of depression,improving self-affirmation and meaning and promoting the rehabilitation.
出处
《中国健康心理学杂志》
2013年第7期974-977,共4页
China Journal of Health Psychology
基金
"2012年上海高校教师产学研践习计划"项目资助
上海市教委社会工作教学实习服务基地建设项目
关键词
认知-存在
团体干预
慢性精神分裂症患者
对照研究
Cognitive-existential
Group intervention
Chronic schizophrenics
Controlled studies
