首页|耳穴压豆联合正念认知疗法对慢性精神分裂症患者负性情绪及睡眠质量的临床疗效评价

耳穴压豆联合正念认知疗法对慢性精神分裂症患者负性情绪及睡眠质量的临床疗效评价

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目的:探究耳穴压豆联合正念认知疗法干预对慢性精神分裂症患者负性情绪及睡眠的影响。方法:选取2022年12月至2023年12月在某精神卫生中心住院的105例慢性精神分裂症患者作为研究对象,其中干预组50名,对照组55名。对照组给予心理健康教育团体治疗,干预组在团体治疗基础上给予耳穴压丸和正念认知干预。采用阳性和阴性症状量表(PANSS)、匹兹堡睡眠质量指数(PSQI)、卡尔加里精神分裂症抑郁量表(CDSS)、斯奈思-汉密尔顿快感量表(SHAPS),分别与干预治疗前、治疗4周末、8周末、12周末进行评估。结果:两组干预前PANSS、CDSS、SHAPS、PSQI评分比较差异无统计学意义(P>0。05),干预组治疗后PANSS、PSQI、CDSS、SHAPS评分均在第8周末、12周末与对照组相比较,差异有统计学意义(8周后:t=2。312,2。024,2。157,2。633,P<0。05;12周后:t=3。02,5。391,4。792,3。448;P<0。05)。PSQI、CDSS、SHAPS 量表的组别和时间交互作用显著(F=5。78,9。90,3。27;P<0。05)。结论:耳穴压丸联合正念认知疗法可改善慢性精神分裂症患者的部分精神症状、负性情绪及睡眠质量。
Clinical efficacy of auricular pressure bean combined with mindfulness-based cognitive therapy on negative emotions and sleep quality in patients with chronic schizophrenia
Objective:To investigate the effects of auricular pressure bean combined with mindfulness-based cog-nitive therapy intervention on negative emotions and sleep in patients with chronic schizophrenia,and to provide ref-erence for exploring rehabilitation strategies for chronic schizophrenia patients.Methods:A total of 105 patients with chronic schizophrenia hospitalized at the Baoshan District Mental Health Center in Shanghai from December 2022 to December 2023 were selected as study participants,with 50 in the intervention group and 55 in the control group.The control group received mental health education group therapy,while the intervention group was additionally provided with auricular acupressure and mindfulness-based cognitive intervention on top of the group therapy.The Positive and Negative Symptom Scale(PANSS),Pittsburgh Sleep Quality Index(PSQI),Calgary Schizophrenia Depression Scale(CDSS),and Snaith-Hamilton Pleasure Scale(SHAPS)were used to assess the patients at baseline,as well as at the end of weeks 4,8,and 12 of the intervention.Results:There was no statistically significant difference between the PANSS,PSQI,CDSS,and SHAPS scores of the two groups before the intervention(P>0.05),and the PANSS,PSQI,CDSS,and SHAPS scores of the intervention group were compared with those of the control group at the end of the 8th and 12th weekends of the treatment(after 8 weeks:t=2.312,2.024,2.157,2.633;P<0.05 after 12 weeks:t=3.02,5.391,4.792,3.448;P<0.05).The group and time interactions of PSQI,CDSS,and SHAPS scales were sig-nificant(F=5.78,9.90,3.27;P<0.05).Conclusion:Auricular pressure bean combined with mindfulness-based cog-nitive therapy can improve certain psychiatric symptoms,negative emotions,and sleep quality in patients with chron-ic schizophrenia.

Auricular pressure beanMindfulness-based cognitive therapySchizophreniaNegative emotionsSleep quality

赵黎萍、邱义玲、张展星、孙秋芳、褚庆文、宋宣慧

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上海市宝山区精神卫生中心 201906

耳穴压豆 正念认知疗法 精神分裂症 负性情绪 睡眠质量

2025

中国健康心理学杂志
中国心理卫生协会

中国健康心理学杂志

影响因子:1.264
ISSN:1005-1252
年,卷(期):2025.33(1)