CAJ | 학술논문

目的探讨改良森田疗法对康复期重性精神病患者变态人格的影响.方法通过前瞻性的队列研究方法,将在本院住院已进入康复期的(164名)重性精神病患者以随机数字表法分成试验组(72名)和对照组(92名),试验组采用药物联合改良森田疗法治疗,对照组单用药物治疗,在治疗1个月前后分别采用明尼苏达人格问卷、阳性阴性症状量表、汉密顿抑郁量表对其进行评定.结果试验组在采用药物联合改良森田疗法治疗前后的疑病症、抑郁症、癔病症、精神病态、偏执狂、精神衰弱、精神分裂、社会内向量表T分变化与对照组单用药物治疗前后上述量表T分变化相比较均差异有显著统计学意义(P<0.01),Pd量表T分变化与对照组比较差异有显著性(t=2.433,P<0.05),Mf、Ma量表T分变化[治疗前分别为(50.05±10.83)分,(56.96±11.06)分;治疗后分别为(47.18±12.15)分,(51.81±11.33)分]与对照组[治疗前分别为(50.38±9.76)分,(48.97±9.57)分;治疗后分别为(55.04±11.14)分,(52.42±10.26).分]比较均差异无显著性,即Mf(t=0.796,P>0.05)、Ma(t=1.342;P>0.05).结论改良森田疗法可转变康复期重性精神病患者除Mf、Ma外的变态人格.
목적 탐토개량삼전요법대강복기중성정신병환자변태인격적영향.방법 통과전첨성적대렬연구방법,장재본원주원이진입강복기적(164명)중성정신병환자이수궤수자표법분성시험조(72명)화대조조(92명),시험조채용약물연합개량삼전요법치료,대조조단용약물치료,재치료1개월전후분별채용명니소체인격문권、양성음성증상량표、한밀돈억욱량표대기진행평정.결과 시험조재채용약물연합개량삼전요법치료전후적의병증、억욱증、억병증、정신병태、편집광、정신쇠약、정신분렬、사회내향량표T분변화여대조조단용약물치료전후상술량표T분변화상비교균차이유현저통계학의의(P<0.01),Pd량표T분변화여대조조비교차이유현저성(t=2.433,P<0.05),Mf、Ma량표T분변화[치료전분별위(50.05±10.83)분,(56.96±11.06)분;치료후분별위(47.18±12.15)분,(51.81±11.33)분]여대조조[치료전분별위(50.38±9.76)분,(48.97±9.57)분;치료후분별위(55.04±11.14)분,(52.42±10.26).분]비교균차이무현저성,즉Mf(t=0.796,P>0.05)、Ma(t=1.342;P>0.05).결론 개량삼전요법가전변강복기중성정신병환자제Mf、Ma외적변태인격.
Objective To transform the abnormal personality of the severe mental patients by the the im-proved morita therapy during the period of rehabilitation, then to provid some feasible measures for enhancing the persistent efficiency of the severe mental patients. Methods By the way of the prospective study, the IPD (164 cases) from January 2003 to June 2008 who had already rehabilitated were randomly derided into the two groups. One was the trial group (72 cases)of the therapy of improved morita therapy associated with medicine,the other was the controls(92 cases) which was only used medicine. These two groups were assessed by MMPI,PANSS, HRSD before and after one month. Results The changes of T score of Hs ,D ,Hy,Pd,Pa,Pt,Sc ,Si scale in the tri-al group before and after being used improved morita therapy associated with medicine and the changes of them in the controls before and after only being used medicine both had statistic obvious significance( P < 0.01 ), the chan-ges of T score of Pd scale had statistic significance(t = 2.433, P< 0.05). Besides, T score of Mf, Ma scale were re-spectively 50.05±10.83,56.96±11.06 before the treatment,47.18±12. 15,51.81±11.33 after the treatment,the changes of T score of Mf, Ma scale had no statistic significance by the contrast of these two groups, namely Mf (t=0.796, P >0.05 ), Ma(t = 1. 342, P >0.05). Conclusion The improved morita therapy could transform the ab-normal personality of the severe mental patients during the period of rehabilitation except for Mf,Ma.