文章摘要

小组社交技能训练应用于慢性精神分裂症患者中的效果

作者: 1王萍, 1许梅, 1屠爱芳
1 上海市闵行区精神卫生中心门诊部,上海 201112
通讯: 王萍 Email: yyqq0903@163.com
DOI: 10.3978/j.issn.2095-6959.2022.04.015

摘要

目的:探讨小组社交技能训练应用于慢性精神分裂症患者中的效果。方法:选取上海市闵行区精神卫生中心2019年1月至2020年7月门诊收治的148例慢性精神分裂症患者,采用双盲、随机临床试验设计,按随机数字表法分为两组。随访3个月中脱落2例,最终纳入146例作为研究对象。对照组(n=73)行常规康复训练,观察组(n=73)在此基础上行小组社交技能训练。对比两组精神症状严重程度、社会功能缺陷情况、遵医行为及康复疗效。结果:训练3个月后,观察组阳性和阴性症状量表(Positive and Negative Syndrome Scale,PANSS)评分低于对照组(P<0.05);观察组社会功能缺陷筛选量表(Social Disability Screening Schedule,SDSS)评分均低于对照组(P<0.05);观察组遵医行为优于对照组(P<0.05);观察组康复疗效评定量表(Inpatient Psychiatric Rehabilitation Outcome Scale,IPROS)评分低于对照组(P<0.05)。结论:小组社交技能训练应用于慢性精神分裂症患者可有效缓解其精神症状,改善社会功能缺陷及遵医行为,提高康复疗效。
关键词: 小组社交技能训练;精神分裂症;康复训练;社会功能;遵医行为

Effect of group social skills training in patients with chronic schizophrenia

Authors: 1WANG Ping, 1XU Mei, 1TU Aifang
1 Outpatient Department, Mental Health Center, Minhang District, Shanghai 201112, China

CorrespondingAuthor: WANG Ping Email: yyqq0903@163.com

DOI: 10.3978/j.issn.2095-6959.2022.04.015

Abstract

Objective: To explore the effect of group social skills training in patients with chronic schizophrenia. Methods: A total of Select 148 patients with chronic schizophrenia admitted to our hospital from January 2019 to July 2020. The double-blind, randomized clinical trial design was adopted, and the random number table method was used to divide them into two groups. During the follow-up of 3 months, 2 cases were dropped out, and 146 cases were finally included as the research objects. The control group (73 cases) underwent routine rehabilitation training, and the observation group (73 cases) performed group social skills training on this basis. The severity of psychiatric symptoms, social function deficits, compliance behavior and rehabilitation efficacy were compared between the two groups. Results: After 3 months of intervention, the Positive and Negative Syndrome Scale (PANSS) score of the observation group was lower than that of the control group (P<0.05); the Social Disability Screening Schedule (SDSS) score of the observation group was lower than that of the control group (P<0.05); the observation group’s compliance behavior was better than that of the control group (P<0.05); the Inpatient Psychiatric Rehabilitation Outcome Scale (IPROS) score of the observation group was lower than that of the control group (P<0.05). Conclusion: Group social skills training applied to patients with chronic schizophrenia can effectively relieve their mental symptoms, improve social function deficits and compliance behaviors, and improve rehabilitation efficacy.
Keywords: group social skills training; schizophrenia; rehabilitation training; social function; compliance behavior