中国全科医学2018，Vol.21Issue(4)：475-479,5.DOI:10.3969/j.issn.1007-9572.2018.04.022
改良式"重返社区技能训练"对社区精神分裂症患者症状、认知及社会功能的干预效果研究
Intervention Effects of Improved Social Skills Training for Community Reentry on Symptoms,Cognition and Social Functioning of Community Schizophrenia Patients
摘要
Abstract
Objective To explore the intervention effects of improved social skills training for community reentry on symptoms, cognition and social functioning of community schizophrenia patients. Methods From Fengtai Community Health Service Center, 162 chronic schizophrenia patients enrolled in Beijing Mental Health Management System were selected from May 2014 to April 2015, and they were randomly divided into the control group (n=82) and the intervention group (n=80). Patients in the control group received medication treatment only, while besides medication treatment, patients in the intervention group also accepted social skills training for community reentry. The intervention lasted for 12 months. The Positive and Negative Symptom Scale (PANSS), Insight and Treatment Attitude Questionnaire (ITAQ) and Social Function Defect Screening Scale (SDSS) were adopted to assess symptoms, cognition and social functioning of schizophrenia patients before intervention and after 12-month intervention. Results During the intervention period, nine patients were lost to follow-up and eventually, there were 77 patients in the control group and 76 patients in the intervention group. Before intervention, there were no significant differences in the scores of PANSS, ITAQ and SDSS between two groups (P>0.05). After 12-month intervention, there were no significant differences in the scores of positive symptom and general psychopathological symptom between two groups (P>0.05). However, there were significant differences in the scores of negative symptom, PANSS, ITAQ and SDSS between two groups (P<0.05). Conclusion On the basis of medication treatment, the improved social skills training for community reentry can effectively improve the symptoms, cognition and social functioning of community schizophrenia patients.关键词
精神分裂症/重返社区技能训练/认知/社会功能Key words
Schizophrenia/Social skills training for community reentry/Cognition/Social functioning分类
医药卫生引用本文复制引用
姜珺,李志武,康瑞莹,闫宏锋,吴业青..改良式"重返社区技能训练"对社区精神分裂症患者症状、认知及社会功能的干预效果研究[J].中国全科医学,2018,21(4):475-479,5.基金项目
首都卫生发展科研专项项目(2014-3-7053) （2014-3-7053）
