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社会认知及交互训练对精神分裂症患者病耻感及社会支持的影响

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目的 探究在精神分裂症患者中实施社会认知及交互训练(SCIT)对病耻感、社会支持的影响.方法 选择2021 年 5 月—2023 年 5 月兰陵华瑞精神病医院收治的 82 例精神分裂症患者为研究对象,按随机数字表法将其分为对照组与观察组,各41 例.对照组采用常规干预,观察组采用SCIT,均于干预 3个月后评估.比较两组患者的病耻感、社会支持及精神症状.结果 干预前,两组病耻感、社会支持、精神症状比较,组间差异无统计学意义(P>0.05);干预后,观察组精神疾病患者病耻感量表中歧视量表评分(16.18±1.92)分、病情掩饰评分(14.15±1.76)分、积极效应评分(10.67±1.23)分均低于对照组,社会支持评定量表中客观支持评分(18.31±1.75)分、主观支持评分(25.13±2.86)分、对支持的利用度评分(8.92±1.63)分均高于对照组,阴性与阳性症状量表中阳性症状评分(16.46±1.73)分、阴性症状评分(15.77±1.39)分、一般病理症状评分(28.43±3.19)分均低于对照组,组间差异有统计学意义(P<0.05).结论 在精神分裂症患者中实施SCIT可减轻精神症状、病耻感,提高社会支持水平.
The Impact of Social Cognition and Interactive Training on Stigma and Social Support in Patients with Schizophrenia
Objective To explore the impact of implementing social cognitive and interactive training(SCIT)on stigma and social support in patients with schizophrenia.Methods 82 schizophrenic patients admitted to Huarui Psychiatric Hospital in Lanling from May 2021 to May 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 41 cases in each group.The control group received conventional intervention,and the observation group received SCIT,all of which were evaluated after 3 months of intervention.The stigma,social support and psychiatric symptoms were compared between the two groups.Results Before intervention,there were no significant differences in stigma,social support and mental symptoms between the two groups(P>0.05);after the intervention,the discrimination scale score(16.18±1.92)points,the disease masking score(14.15±1.76)points and the positive effect score(10.67±1.23)points of the psychiatric patients in the observation group were all lower than those in the control group,the objective support score(18.31±1.75)points,subjective support score(25.13±2.86)points and support utilization score(8.92±1.63)points of the social support rating scale were higher than those of the control group,the positive symptom score(16.46±1.73)points,negative symptom score(15.77±1.39)points and general pathological symptom score(28.43±3.19)points of the negative and positive symptom scales were lower than those of the control group,and the differences between groups were statistically significant(P<0.05).Conclusion Implementing SCIT in patients with schizophrenia can alleviate mental symptoms,stigma,and improve social support levels.

SchizophreniaSocial cognition and interactive trainingStigmaSocial supportMental symptoms

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兰陵华瑞精神病医院精神科六病房,山东临沂 276000

精神分裂症 社会认知及交互训练 病耻感 社会支持 精神症状

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(4)
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