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社交技能训练治疗残留期精神分裂症的疗效观察

王士良 陈建玲 钱敏才 沈鑫华 蒋永红 钟华 冯锐

中国康复2016,Vol.31Issue(5):323-326,4.
中国康复2016,Vol.31Issue(5):323-326,4.DOI:10.3870/zgkf.2016.05.001

社交技能训练治疗残留期精神分裂症的疗效观察

Clinical efficacy of social skill training in the treatment of residual schizophreniacs

王士良 1陈建玲 2钱敏才 1沈鑫华 1蒋永红 1钟华 1冯锐3

作者信息

  • 1. 湖州市第三人民医院精神科,浙江 湖州 313000
  • 2. 上海交通大学医学院附属精神卫生中心,上海 200030
  • 3. 浙江大学医学院附属邵逸夫医院精神卫生科,杭州 310016
  • 折叠

摘要

Abstract

Objective:To explore one-year efficacy of social skill training in the treatment of residual schizophren-ics.Methods:The patients were divided into research group and control group by a random number table.The pa-tients in the research group were treated with the combination of risperidone tablets and social skill training,and those in the control group were treated with risperidone tablets alone.The prospective observational study method and the integrated case management were used during the one-year follow-up period.Two groups were assessed with Positive and Negative Syndrome Scale (PANSS),Activity of Daily Living Scale (ADL)and Social Disability Screen-ing Schedule (SDSS)for the evaluation of psychiatric symptoms,daily life ability and social function defects,re-spectively.Results:Repeated measures analysis of variance showed that the PANSS total scores,negative scores, general psychopathology scores,ADL total scores and SDSS total scores in the research group were descended line-arly with time.Furthermore,the trends of negative scores,ADL total scores and SDSS total scores showed signifi-cant differences in the research group as compared with the control group (P <0.05 or 0.01).As compared with the baseline,significant differences were detected in the total scores of PANSS,ADL,SDSS and PANSS negative scores at 3rd,6th,9th or 12th month after treatment in the research group (P <0.01).As compared with the con-trol group,PANSS total scores decreased significantly in the research group at 12th month after treatment (P <0.05).In addition,PANSS negative scores were also decreased significantly at 9th or 12th month after treatment (P <0.01).ADL and SDSS total scores in the research group were lower than those in the control group at each different time point (P <0.05 or P <0.01).Con-clusion:Systematic and normative social skill training can not only improve the general condition ,negative symptom,daily life ability and social function of the re-sidual schizophrenia patients, but also keep the im-provement within one year.

关键词

社交技能训练/精神分裂症/阳性与阴性症状量表

Key words

social skill training/schizophrenia/positive and negative syndrome scale

分类

医药卫生

引用本文复制引用

王士良,陈建玲,钱敏才,沈鑫华,蒋永红,钟华,冯锐..社交技能训练治疗残留期精神分裂症的疗效观察[J].中国康复,2016,31(5):323-326,4.

基金项目

浙江省湖州市科技局一般科研计划项目(2011YS21) (2011YS21)

浙江省卫生厅骨干项目(2012RCA033) (2012RCA033)

中国康复

OACSTPCD

1001-2001

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