CAJ | 학술논문

目的：探讨内观疗法对社区精神分裂症康复期患者的临床疗效。方法将112例社区精神分裂症康复期患者随机分为内观治疗组52例和对照组56例，进行9周治疗，对照组采用药物治疗，内观治疗组在此基础上联合内观治疗。在治疗前、治疗后进行阳性与阴性症状量表（PANSS），症状自评量表（SCL‐90）中人际关系敏感因子和敌对因子、自知力与治疗态度问卷（ITAQ）测定。结果治疗前，2组在 PANSS总分、阳性症状量表分、阴性症状量表分、一般精神病理量表，SCL‐90人际关系敏感因子、敌对因子，ITAQ量表评分，差异均无统计学意义（P＞0.05）。治疗后，2组患者在PANSS量表总分、阴性症状量表、一般精神病理量表，SCL‐90人际关系敏感因子评分及敌对因子评分上，差异均具有统计学意义（P＜0.05）；在 PANSS阳性症状量表分、ITAQ量表评分上，差异均无统计学意义（P＞0.05）。结论内观治疗有助于改善社区精神分裂症康复期患者的精神症状及人际关系，适合在社区中开展。
목적：탐토내관요법대사구정신분렬증강복기환자적림상료효。방법장112례사구정신분렬증강복기환자수궤분위내관치료조52례화대조조56례，진행9주치료，대조조채용약물치료，내관치료조재차기출상연합내관치료。재치료전、치료후진행양성여음성증상량표（PANSS），증상자평량표（SCL‐90）중인제관계민감인자화활대인자、자지력여치료태도문권（ITAQ）측정。결과치료전，2조재 PANSS총분、양성증상량표분、음성증상량표분、일반정신병리량표，SCL‐90인제관계민감인자、활대인자，ITAQ량표평분，차이균무통계학의의（P＞0.05）。치료후，2조환자재PANSS량표총분、음성증상량표、일반정신병리량표，SCL‐90인제관계민감인자평분급활대인자평분상，차이균구유통계학의의（P＜0.05）；재 PANSS양성증상량표분、ITAQ량표평분상，차이균무통계학의의（P＞0.05）。결론내관치료유조우개선사구정신분렬증강복기환자적정신증상급인제관계，괄합재사구중개전。
Objective To investigate the efficacy of Naikan therapy in patients with community convalescent schizophrenia .Methods The 112 community convalescent schizophrenic patients were randomly divided into Nai‐kan therapy group ( n=52) and control group ( n=56) ,and were treated with antipsychotic agent therapy com‐bined with Naikan therapy and antipsychotic agent therapy for 9 weeks ,respectively .Efficacy at baseline ,and the end of 9th week after the treatment were assessed respectively by positive and negative syndrome scale(PANSS) , interpersonal sensitivity factor and hostile factor of SCL‐90 of symptom checklist 90(SCL‐90)and insight and treat‐ment attitudes questionnaires (ITAQ) .Results At the baseline ,there was no significant difference in PANSS to‐tal score ,negative symptom score ,positive symptom score ,general psychopathology score ,interpersonal sensi‐tivity factor and hostile factor of SCL‐90 and ITAQ score between Naikan therapy group and control group(P>0.05) .After the treatment ,there was statistically significant difference in PANSS total score ,positive symptom score ,general psychopathology score ,interpersonal sensitivity factor and hostile factor of SCL‐90(P< 0.05) . There was no significant difference in negative symptom score and ITAQ score(P> 0.05) .Conclusion Naikan therapy can possibly improve clinical symptoms and interpersonal relationship of patients with community conva‐lescent schizophrenia .It fits to be carried out in the community .