CAJ | 학술논문

目的：研究结构式团体心理治疗对精神分裂症青少年患者自我和谐感的疗效。方法：将60例精神分裂症青少年患者随机分成两组,对照组患者仅进行药物治疗,研究组患者进行药物治疗同时辅以结构式团体心理治疗,每周2次,每次1h,共12次。在治疗前、治疗后及治疗结束3个月后采用自我和谐量表(SCCS)和阳性与阴性症状量表(PANSS)对两组患者进行评定。结果：治疗后,研究组患者的自我与经验不和谐、自我灵活性、SCCS 总分、阳性症状、一般精神病理、PANSS 总分与对照组相比有差异,差异有统计学意义；治疗结束3个月后,研究组患者的自我与经验不和谐、自我灵活性、PANSS 总分与对照组相比,差异有统计学意义。结论：结构式团体心理治疗可明显改善精神分裂症青少年患者的自我和谐感。
목적：연구결구식단체심리치료대정신분렬증청소년환자자아화해감적료효。방법：장60례정신분렬증청소년환자수궤분성량조,대조조환자부진행약물치료,연구조환자진행약물치료동시보이결구식단체심리치료,매주2차,매차1h,공12차。재치료전、치료후급치료결속3개월후채용자아화해량표(SCCS)화양성여음성증상량표(PANSS)대량조환자진행평정。결과：치료후,연구조환자적자아여경험불화해、자아령활성、SCCS 총분、양성증상、일반정신병리、PANSS 총분여대조조상비유차이,차이유통계학의의；치료결속3개월후,연구조환자적자아여경험불화해、자아령활성、PANSS 총분여대조조상비,차이유통계학의의。결론：결구식단체심리치료가명현개선정신분렬증청소년환자적자아화해감。
Objective:To explore the efficacy of the structural group psychotherapy on the self consistency and congruence in adolescent patients with schizophrenia. Methods:60 adolescent patients with schizophrenia were randomly divided into intervention group and control group. Besides the drug treatment, the intervention group received structural group psychotherapy for 6 weeks (1hour each time, 2 times per week) while the control group was not interfered. All the patients were assessed with self consistency and con-gruence scale (SCCS) and positive and negative syndrome scale (PANSS) before the intervention, after the intervention and 3 months after the intervention. Results: There were statistical differences between the two groups in self experience disharmony, self flexibility, SCCS scores, positive syndrome, general psychopathology and PANSS scores after the intervention. There were statistical differences between the two groups in self experience disharmony, self flexibility and PANSS scores 3 months after the intervention. Conclusions:The structural group psychotherapy has the obvious curative effect on the self consistency and congruence in the adolescent patients with schizophrenia.