认知行为疗法在精神分裂症患者中的应用效果

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Abstract Objective To investigate the application effect of cognitive behavioral therapy in the patients with schizophrenia.Methods A total of 200 patients with schizophrenia during remission who were hospitalized in Hui′ai Hospital of Guangzhou City from June 2014 to March 2016 were enrolled as subjects.According to the different intervention methods,they were divided into control group and study group,with 100 patients in each group.However,during the entire study period,affected by various factors,some patients were withdrawn from the study.The final study group was 92 patients and the control group was 87 patients.The control group was given routine treatment,nursing and health education.The study group was given individual cognitive behavioral therapy interventions based on the control group.Before and after intervention and 3,6,12 months after discharge,led by psychiatrists who received relevant training,the brief psychiatric rating scale(BPRS),the insight and treatment attitude questionnaire(ITAQ),and the self-developed medication compliance survey were used,and the patients′condition,self-knowledge,treatment attitude and medication compliance were assessed respectively.Results The scores of BPRS in the study group were significantly lower than those in the control group after intervention and 3,6,12 months after discharge,the differences were statistically significant(P＜0.05).The scores of ITAQ in the study group were significantly higher than those in the control group after intervention and 3,6,12 months after discharge,the differences were statistically significant(P＜0.05).The complete compliance rate to medica-tion of patients in the study group were higher than those in the control group at 3,6 and 12 months after discharge,the differences were statistically significant(P＜0.05).Conclusion The application effects of cognitive behavioral therapy in the patients with schizophrenia can effectively improve patients′treatment compliance,and maintain their attitude during treatment,so as to further improve therapeutic effects and enhance patients′clinical symptoms.

Key words： Cognitive behavioral therapy Schizophrenia Maintenance of treatment attitude Compliance

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	Articles by authors
	ZHU Yan-qing
	NIE Sha
	DENG Shao-ling
	HE Wan-yi

Cite this article:

ZHU Yan-qing,NIE Sha,DENG Shao-ling, et al. Application effect of cognitive behavioral therapy in the patients with schizophrenia[J]. 中国当代医药, 2019, 26(5): 215-219.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I5/215

[1]	Glover MS，Shi L，Fuller DR，et al.On the Split Personality of Penultimate Proline[J].J Amer Soc Mass Spectrom，2015，26（3）：444-452.
[6]	Owen MJ，Sawa A，Mortensen PB.Schizophrenia[J].Lancet，2016，388（10039）：86-97.
[7]	王永良.认知行为与利培酮联合治疗精神分裂症残留型的临床疗效分析[J].中国卫生标准管理，2015，6（24）：100-101.
[8]	张静.认知行为疗法对长期住院男性精神分裂症患者的认知功能的影响[J].中国实用医药，2018，13（3）：194-195.
[9]	黄先娥.认知行为疗法对武汉市某社区精神分裂症患者社会功能及暴力行为的影响[J].医学与社会，2016，29（7）：84-86.
[2]	Romijn MD，Van Marum RJ，Emmelotvonk MH，et al.Mild chronic kidney disease is associated with cognitive function in patients presenting at a memory clinic[J].Int J Geriat Psychiat，2012，3（7）：S135.
[3]	Cox KH，Pipingas A，Scholey AB.Investigation of the effects of solid lipid curcumin on cognition and mood in a healthy older population[J].J Psychopharmacol，2015，29（5）：642-651.
[4]	Snowden M B，Atkins DC，Steinman LE，et al.Longitudinal Association of Dementia and Depression[J].Am J Geriat Psychiat，2015，23（9）：897-905.
[5]	Mathers D，Bernard C，Iburg M，et al.Global Burded of Diserse in 2002：data source，methods and results[R].World HealthOrganization-GlobalProgrammeonEvidenceforHealth Organization-global Programme on Evidence for Health Policy Discussion Paper No.54.
[10]	王小虎.认知行为治疗对改善精神分裂症患者生活品质的影响[J].癫癎与神经电生理学杂志，2015，24（6）：351-355.
[11]	龚建兵.阿立哌唑联合认知行为疗法对首发精神分裂症患者的疗效及安全性探究[J].中国医药导刊，2016，18（8）：813-814，819.
[12]	马银芳.认知行为疗法对精神分裂症患者生活质量的改善作用分析[J].河南医学研究，2016，25（8）：1514-1515.
[13]	岳速萍，洪玲，Chow SL，等.认知行为疗法治疗精神分裂症的研究进展[J].中华精神科杂志，2015，48（4）：249-251.
[14]	阮晓晶，周芳珍.奥氮平联合认知行为疗法治疗慢性精神分裂症疗效观察[J].医学理论与实践，2016，29（12）：1576-1578.
[15]	周锦泉.精神分裂症复发的危险因素研究[J].山东精神医学，2001，14（3）：192-194.
[16]	王长虹，李晏，赵峥，等.认知行为治疗对首发精神分裂症远期疗效的对照研究[J].中国心理卫生杂志，2003，17（3）：200-202.
[17]	Malek N，Greene J.Cognition enhancers for the treatment of dementia[J].Scot Med J，2015，60（1）：44-49.
[18]	Byerly MJ，Fisher R，Carmody T，et al.A trial of compliance therapy in outpatients with schizophrenia or schizoaffective disorder[J].J Clin Psychiat，2005，66（8）：997-1001.
[19]	陈海萍，章秋萍，张丽娜，等.计算机认知矫正治疗对提高精神分裂症患者社会功能水平的研究[J].中国医药导报，2017，14（2）：154-157.
[20]	慢性精神分裂患者施行心理行为护理对认知功能的影响分析[J].中国医药科学，2017，7（19）：141-144.
[21]	张荣荣，闫伟，吕兰兰，等.精神分裂症首发及前驱期认知功能研究[J].中国医药导报，2018，15（13）：42-45.
[22]	周有才，郝军锋，杨瑞，等.认知矫正治疗对慢性精神分裂症患者的临床研究[J].中国医药科学，2017，7（23）：25-28.