摘要
目的探讨团体社交训练对青少年精神分裂症患者社会功能及社交心理的影响。方法将203例青少年精神分裂症患者随机分为干预组(103例)和对照组(100例),两组患者均口服常规抗精神药物治疗和精神科常规护理,干预组在此基础上进行4周团体社交技能训练。干预前、干预4周后分别采用特质应对方式问卷(TCSQ)、社交回避及苦恼量表(SAD)、UCLA孤独量表(UCLA)、Rosenberg自尊量表(RSES)和住院精神病人社会功能评定量表(SSPI)进行评定。结果干预4周后,干预组TCSQ积极应对方式评分、RSES评分、SSPI总分和各因子得分,均较干预前显著提高且优于对照组,差异有统计学意义(均P<0.05);干预组SAD评分、UCLA评分较干预前显著降低且优于对照组,差异有统计学意义(P<0.05)。结论团体社交技能训练能有效改善青少年精神分裂症患者社会功能,并对其社交心理产生积极影响。
Objective To investigate the effect of social skills training on social function and social psychology of adolescent scizophrenia.Methods A total of 203 adolescents schizophrenia were randomly assigned into the intervention group(n=103)and control group(n=100).The two groups were given oral antipsychotic drugs and psychiatric routine care.On this basis,the intervention group conducted the social skills training for 4 weeks.The two groups were assessed by adopting the trait coping style questionnaire(TCSQ),social avoidance and distress scale(SAD),UCLA Loneliness Scale(UCLA),Rosenberg self-esteem scale(RSES)and the Scale of Social-Skills for Psychiatric Inpatients(SSPI)before intervention and after 4 weeks of intervention.Results After 4-weeks intervention,the TCSQ scores,RSES scores,SSPI total scores and each dimensionin scores in the intervention group were significantly increased compared with before intervention,moreover superior to the control group,and the difference was statistically significant(P<0.05);the SAD scores and UCLA scores in the intervention group were remarkably decreased compared with before intervention,moreover superior to the control group,and the difference was statistically significant(P<0.01).Conclusion The group social skills training can effectively improve the social skills of adolescent schizophrenia,and produces the active effect on their social intercourse psychology.
作者
徐莲英
刘蕾
郝弈峰
胡传存
唐荣兰
钟慧
崇木兰
宋晨霞
孙莹
XU Lianying;LIU Lei;HAO Yifeng;HU Chuancun;TANG Ronglan;ZHONG Hui;CHOING Mulan;SONG Chenxia;SUN Ying(Department of Nursing,Anhui Provincial Mental Health Center,Hefei,Anhui 230022,China;Department of Children and Adolescent Psychology,Anhui Provincial Mental Health Center,Hefei,Anhui 230022,China;Anhui Medical University,Hefei,Hefei 230032,China)
出处
《重庆医学》
CAS
2018年第35期4448-4451,共4页
Chongqing medicine
基金
国家自然科学基金项目(81673188)
安徽省合肥市科技局攻关计划项目([2015]163号)
