【摘要】 目的:探讨药物联合认知行为治疗对精神分裂症患者应对方式的影响。方法:本研究为随机对照临床试验。选取符合美国精神疾病诊断与统计手册第4版(DSM-IV)中精神分裂症诊断标准的医院门诊和住院患者共132例,随机分配到认知行为治疗组(CBT组,n=66)和支持性心理治疗组(ST组,n=66),在药物治疗基础上分别接受15次CBT和ST。并在治疗前后采用应对方式问卷(CSQ)对两组患者进行评估。结果:经过24周治疗,CBT组CSQ的解决问题、自责、求助、逃避四个因子的得分均有显著改善(P<0.05);而ST组只在自责因子分数有显著改变(P<0.05)。两组进行治疗后比较,CBT组的问题解决和求助因子显著高于ST组(P<0.001)。结论:认知行为治疗能够有效的改善精神分裂症患者的应对方式。更多还原

【Abstract】 Objective: To explore the efficacy of Cognitive Behavioral Therapy(CBT) on coping style of patients with schizophrenia.Methods: In this double,randomized controlled study,132 patients who met the Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition(DSM-IV) criteria for schizophrenia were randomly assigned to CBT group(n= 66),and supportive psychotherapy(ST) group(n=66).The patients accepted 15 sessions of CBT or ST respectively.Coping Style Questionnaire(CSQ) and Positive and Negative Symptom Scale(PANSS)were used to assess the efficacy at baseline and 24 blindly.Results: In CBT group,the score of problem solving,self-accusation,seeking help,escaping factors of CSQ was higher at weeks 24 than that at baseline(P<0.05).In ST group,only the difference of self-accusation foctor had statistical significance(P<0.05).The score of problem solving and seeking help foctors in CBT group was higher than that in ST group(P<0.001).Conclusion: CBT can improve the coping style of patients with schizophrenia.更多还原