【摘要】 目的探讨心理教育对预防精神分裂症复发的作用。方法对78例首次住院治疗并临床痊愈的精神分裂症患者,按出院顺序分为研究组和对照组各38例,在接受抗精神病药物治疗的同时,对研究组进行6个月的心理教育;于出院时及出院后24个月,分别对两组的复发率、自知力评分和简明精神病评定量表(BPRS)进行评定和比较。结果研究组复发率为15.79%,显著低于对照组的36.84%(P<0.05);研究组自知力评分试验后(2.8±0.8)分,略低于试验前(2.9±1.0)分(P>0.05),而对照组由(2.8±0.9)分升至(5.1±2.3)分(P<0.01);研究组BPRS总分及主要因子分均显著低于对照组(P<0.01)。结论对缓解期的精神分裂症患者进行心理教育,具有一定的预防疾病复发之作用。更多还原

【Abstract】 ObjectiveTo explore the effect of psychologicaleducation in preventing relapse in schizophrenia patients MethodsThe subjects of the study was 76 schizophrenia patients who were treated in mental hospital for the first time and had clinically recovered.76 subjects were assigned into two groups by the discharge order Both groups received the same drug treatment, But the psychology education were given to the study group for the first six months,and follow up study was carried out after 24 months,relapse rate,the insight scales,and the Brief Psychiatric Rating Scale was assessed in both groups ResultsRelapse rate was much lower in the study group than in control group(36.84%)( 2 =4.34,P<0.05) In study group,the score of insight was much lower after study(2.8±0.8)than before(2.9±1.0,P>0.05),but in control group,the score of insight was much higher after study(5.1±2.3)than before(2.8±0.9,P<0.01)。The total score of The Brief Psychiatric Rating Scale and main factor were lower in the study group than that in control group(P<0.01) ConclusionEducation for recovered schizophrenia might be effective in relieving symptoms and reducing relapse rate更多还原