CAJ | 학술논문

目的：探讨团体认知行为治疗对社区精神分裂症患者的康复疗效。方法：将60例社区康复的精神分裂症患者分成2组，治疗组予以团体认知行为治疗联合药物治疗，对照组仅予一般的社区随访和疾病指导，采用阳性与阴性症状综合征量表（PANSS），Morning-side康复状态量表（MRSS），社会功能缺陷筛选量表（SDSS）及自知力问卷（SAI），分别于治疗前，12周，38周末进行评定。结果：治疗后2组比较，研究组的PANSS总分，MRSS总分及SDSS总分值均下降，低于对照组， SAI总分值高于对照组（P＜0．05，有统计学差异）。结论：团体认知行为治疗对社区精神分裂症患者康复有促进作用。
목적：탐토단체인지행위치료대사구정신분렬증환자적강복료효。방법：장60례사구강복적정신분렬증환자분성2조，치료조여이단체인지행위치료연합약물치료，대조조부여일반적사구수방화질병지도，채용양성여음성증상종합정량표（PANSS），Morning-side강복상태량표（MRSS），사회공능결함사선량표（SDSS）급자지력문권（SAI），분별우치료전，12주，38주말진행평정。결과：치료후2조비교，연구조적PANSS총분，MRSS총분급SDSS총분치균하강，저우대조조， SAI총분치고우대조조（P＜0．05，유통계학차이）。결론：단체인지행위치료대사구정신분렬증환자강복유촉진작용。
Objective:To investigate the efficacy of group cognitive -behavioral therapy on rehabilitation of schizophrenia in communi-ty.Methods:60 schizophrenic patients in community rehabilitation were divided into two groups .the treatment group received group cogni-tive-behavioral therapy combined with drug treatment , the control group , only to the general community and disease follow -up guid-ance, using the Positive and Negative Syndrome Scale ( PANSS) , Morning -side rehabilitation status Scale ( MRSS) social Disability screening Schedule (SDSS) insight questionnaire (SAI) were used to assess the two group at pre -therapy ,12 weeks after ,and 38 weeks after intervention .Results:After treatment, the study group PANSS total score , MRSS and SDSS score decreased , lower than the control group ,and SIA scores statistically higher in intervention group than in control group (P <0.05, there are significant differences). Conclusion:the Group cognitive behavioral therapy could enhance the level of rehabilitation in schizophrenia in community .