中国全科医学2018，Vol.21Issue(16)：2003-2008,6.DOI:10.3969/j.issn.1007-9572.2018.16.020
计算机辅助认知矫正治疗对康复期精神分裂症患者认知功能、自尊水平及社会功能的影响
Effect of Computer-assisted Cognitive Remediation Therapy on the Improvement of Cognitive Function,Level of Self-esteem and Social Performance in Schizophrenia Patients during Recovery Period
摘要
Abstract
Objective To investigate the effect of computer-assisted cognitive remediation therapy (CCRT) on the improvement of cognitive function,levels of self-esteem and social performance in schizophrenia patients during recovery period.Methods Eighty-six schizophrenia patients during recovery period from Hangzhou Seventh People's Hospital,Zhejiang Province,were included during March to December 2016 and were randomized into the CCRT group and control group with 43 in each.The previous conventional drug treatment was continued for 8 weeks in both groups,but 8-week CCRT was given to the CCRT group additionally.Before treatment and at the end of 8-week treatment,Wisconsin Card Sorting Test (WCST),Trail Making Test(TMT) and digit span and coding subtests of the Wechsler Adult Intelligence Scale-Revised in China(WAIS-RC) were used to measure the cognitive function,Self Esteem Scale(SES) was employed to measure the level of self-esteem,and Personal and Social Performance Scale (PSP) was adopted to examine the social performance of the patients.Results Cognitive function:There were no significant differences between the groups in terms of WCST performance (including the mean number of trials,correct classification,perseverative errors,non-perseverative errors,and categories achieved),TMT performance (mean time needed for completing parts A and B of TMT) and scores of digit span and coding subtests of WAIS-RC at baseline (P>0.05).After 8-week treatment,the CCRT group demonstrated less mean number of trials,more number of correct classification,perseverative and non-perseverative errors,needed shorter mean time for completing parts A and B of TMT, and achieved higher mean score of digit span subtest(P<0.05).However,both groups still showed similar mean number of categories achieved and mean score of coding (P>0.05).The level of self-esteem and social performance:The scores of SES and PSP were similar in the two groups at baseline(P>0.05),but after 8-week treatment,both of them were significantly higher in the CCRT group compared with the control group (P<0.05).Conclusion CCRT can effectively improve the cognitive function,the level of self-esteem and social performance in schizophrenia patients during recovery period.关键词
精神分裂症/计算机辅助/认知疗法/认知功能/自尊/社会功能Key words
Schizophrenia/Computer-assisted/Cognitive therapy/Cognitive function/Self-esteem/Social performance分类
医药卫生引用本文复制引用
朱春燕,孙继军,汤剑平,江长旺,张智雯,施剑飞..计算机辅助认知矫正治疗对康复期精神分裂症患者认知功能、自尊水平及社会功能的影响[J].中国全科医学,2018,21(16):2003-2008,6.基金项目
浙江省医药卫生科技计划项目(2017KY544) （2017KY544）
杭州市科技发展计划项目(20160533B32) （20160533B32）
