CAJ | 학술논문

目的：研究结构式团体心理治疗对康复期精神分裂症患者整体社会功能的影响。方法将120例康复期精神分裂症患者按简单随机方法分成2组，每组60例。研究组在原有药物治疗及康复训练基础上实施结构式团体心理治疗，每周1次，每次1 h，共10次；对照组则维持原有药物治疗及康复训练。分别在治疗前后及随访12周时，使用住院慢性精神病患者社会功能评定量表（SSSI）、自尊量表（SES）、自我和谐量表（SCCS）进行评估。结果研究组治疗后 SES 总分高于治疗前，SSSI、SCCS 总分低于治疗前（均 P ＜0．05）。对照组治疗后 SES 总分低于治疗前（P ＜0．05），而治疗前后 SSSI 和 SCCS 总分差异无统计学意义（均 P ＞0．05）。2组治疗后 SSSI、SES、SCCS总分差异均有统计学意义（均 P ＜0．05）。研究组12周随访时与治疗后 SSSI、SES、SCCS 总分比较差异均无统计学意义（均 P ＞0．05）。结论结构式团体心理治疗可以明显改善康复期精神分裂症患者的社会功能，且治疗效果相对稳定、持久。
목적：연구결구식단체심리치료대강복기정신분렬증환자정체사회공능적영향。방법장120례강복기정신분렬증환자안간단수궤방법분성2조，매조60례。연구조재원유약물치료급강복훈련기출상실시결구식단체심리치료，매주1차，매차1 h，공10차；대조조칙유지원유약물치료급강복훈련。분별재치료전후급수방12주시，사용주원만성정신병환자사회공능평정량표（SSSI）、자존량표（SES）、자아화해량표（SCCS）진행평고。결과연구조치료후 SES 총분고우치료전，SSSI、SCCS 총분저우치료전（균 P ＜0．05）。대조조치료후 SES 총분저우치료전（P ＜0．05），이치료전후 SSSI 화 SCCS 총분차이무통계학의의（균 P ＞0．05）。2조치료후 SSSI、SES、SCCS총분차이균유통계학의의（균 P ＜0．05）。연구조12주수방시여치료후 SSSI、SES、SCCS 총분비교차이균무통계학의의（균 P ＞0．05）。결론결구식단체심리치료가이명현개선강복기정신분렬증환자적사회공능，차치료효과상대은정、지구。
Objective To study the effect of structured group psychotherapy on overall social functions of convalescent schizophrenics.Methods A total of 120 convalescent schizophrenics were randomly divided into two groups,with 60 patients in each group.Patients in control group received drug treatment and rehabilitation training.On this basis,patients in study group were given structured group psychotherapy once per week for 10 week (1 hour per week).Patients were evaluated by using Scale of Social-Skills for Psychiatric Inpatients (SSSI),Self-Esteem Scale (SES)and Self Consistency and Congruence Scale (SCCS)before treatment,after treatment and at 12 weeks of follow-up.Results After treatment,SES scores significantly increased in study group but obviously decreased in control group(P <0.05).Moreover,SSSI and SCCS scores sig-nificantly decreased after treatment in study group(P <0.05).No obvious changes in SSSI and SCCS scores were found after treatment in control group(P >0.05).Furthermore,there were sig-nificant differences in SSI,SES and SCCS between the two groups after treatment(P <0.05),but not at 12 weeks of follow-up(P >0.05).Conclusion Structured group psychotherapy can stably and durably improve the social function of convalescent schizophrenics.