CAJ | 학술논문

目的：探讨理性情绪疗法对精神分裂症后抑郁患者心理状态的影响。方法将84例精神分裂症后抑郁患者分为两组，每组42例。两组均予以精神科常规治疗及健康宣教，研究组在此基础上联合理性情绪疗法治疗。观察6周。于治疗前后采用自尊量表、自我接纳问卷、汉密顿抑郁量表评定干预效果。结果治疗后两组汉密顿抑郁量表评分均较治疗前显著降低（P＜0．05或0．01），研究组显著低于对照组（ P＜0．05）；自尊量表、自我接纳问卷评分均较治疗前显著升高（P＜0．05或0．01），研究组显著高于对照组（P＜0．05）。结论理性情绪疗法能显著改善精神分裂症后抑郁患者的抑郁情绪，提高其自尊水平及自我接纳程度。
목적：탐토이성정서요법대정신분렬증후억욱환자심리상태적영향。방법장84례정신분렬증후억욱환자분위량조，매조42례。량조균여이정신과상규치료급건강선교，연구조재차기출상연합이성정서요법치료。관찰6주。우치료전후채용자존량표、자아접납문권、한밀돈억욱량표평정간예효과。결과치료후량조한밀돈억욱량표평분균교치료전현저강저（P＜0．05혹0．01），연구조현저저우대조조（ P＜0．05）；자존량표、자아접납문권평분균교치료전현저승고（P＜0．05혹0．01），연구조현저고우대조조（P＜0．05）。결론이성정서요법능현저개선정신분렬증후억욱환자적억욱정서，제고기자존수평급자아접납정도。
objective To explore the influence of rational emotional therapy (RET ) on psychological state of patients with post-schizophrenia depression (PSD) .Methods Eighty-four PSD patients assigned to two groups of 42 ones each .Both groups received psychiatric routine treatment and health education ,on this basis research group was plus RET for 6 weeks .Intervention effects were assessed with the Self-esteem Scale (SES) ,Self-acceptance Questionnaire (SAQ) and Hamilton Depression Scale (HAMD) before and after treatment .Results After treatment the HAMD scores of both groups lowered more significantly compared with pre-treatment (P<0 .05 or 0 .01) ,so did that in research than control group (P<0 .05);the SES and SAQ scores of both groups heightened more significantly compared with pre-treatment (P<0 .05 or 0 .01) ,so did those in research than control group (P<0 .05) .Conclusion RET could notably improve depressive emotions of PSD patients ,self-esteem levels and self-confidence degree .