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| 团体人际心理治疗对首发精神分裂症患者认知功能及社会功能的影响 |
| Effect of group interpersonal psychotherapy on cognitive function and social function of first-episode schizophrenics |
| 投稿时间：2022-10-17 修订日期：2023-01-09 |
| DOI： |
| 中文关键词: 首发精神分裂症 团体人际心理治疗 认知功能 社会功能 |
| 英文关键词:Schizophrenia Group interpersonal psychotherapy Cognitive function Social function |
| 基金项目:佛山市卫生和计生局科研课题(课题名称：心理治疗对首发精神分裂症患者及联合家庭干预的效果评估,项目编号：20170131) |
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| 中文摘要: |
| 目的 探讨团体人际心理治疗（IPT）对首发精神分裂症患者的认知功能及社会功能影响，为对精神分裂症患者进行适宜的心理治疗提供参考。方法 选取2021年1月-12月在佛山市第三人民医院就诊的、符合《国际疾病分类（第10版）》（ICD-10）诊断标准的62例首发精神分裂症患者为研究对象，按照随机数字表法分为研究组和对照组各31例。两组均接受利培酮治疗，研究组在此基础上接受团体IPT，两组均治疗8周。在治疗前及治疗8周后，采用阳性和阴性症状量表（PANSS）、威斯康星卡片分类测试（WCST）以及个体和社会功能量表（PSP）分别评定患者的精神症状、认知功能和社会功能。结果 治疗8周后，两组PANSS评分差异无统计学意义（t=0.296，P>0.05）；研究组WCST、PSP评分均优于对照组，差异有统计学意义（t=0.398、2.609、0.523，t = 0.381，P＜0.05） 。结论 团体IPT对改善首发精神分裂症患者症状可能无明显作用，但可能有助于改善患者的认知功能和社会功能。 |
| 英文摘要: |
| Objective To explore the effects of group interpersonal psychotherapy (IPT) on cognitive function and social function of first-episode schizophrenics, and to provide reference for appropriate psychotherapy of schizophrenics. Methods Selected 62 cases of first-episode schizophrenia patients who met the diagnostic criteria of "International Classification of Diseases (10th Edition)" (ICD-10) in the Third People's Hospital of Foshan City from January to December 2021, and they were divided into study group and control group with 31 cases in each according to random number table method. Both groups received risperidone treatment for 8 weeks, and the study group received group IPT on this basis. Positive and Negative Syndrome Scale (PANSS), Wisconsin Card Sorting Test (WCST), and Personal and Social Performance scale (PSP) were used to evaluate the patients' mental symptoms, cognitive function and social function, respectively before and after 8 weeks of treatment. Results After 8 weeks of treatment, there was no significant difference in PANSS scores between the two groups (t=0.296,P>0.05). However, the WCST and PSP scores in the study group were better than those in the control group, and the difference was statistically significant (t=0.398;2.609;0.523,t=0.381,P<0.05). Conclusion Group IPT may have no significant effect on improving the symptoms of patients with first-episode schizophrenia, but it may help improve the cognitive and social functions of patients. |
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