【摘要】 目的 探讨接受式音乐治疗对精神分裂症患者认知功能的影响。方法 将58例精神分裂症患者随机分为两组,均接受阿立哌唑治疗,研究组联合接受式音乐治疗,观察8周。选取29名健康者设为健康组。研究组及对照组于治疗前后采用简明精神病量表评定临床疗效,并进行P300检测;健康组于入组时进行P300检测。结果 治疗8周末研究组和对照组简明精神病量表评分均较治疗前显著降低(P<0.01),研究组显著低于对照组(P<0.01);研究组显效率及总有效率高于对照组,但差异无显著性(P>0.05)。治疗前研究组和对照组P300潜伏期较健康组显著延长(P<0.01),波幅较健康组显著降低(P<0.01);治疗8周末,研究组和对照组P300潜伏期较治疗前显著缩短(P<0.05或0.01),研究组波幅较治疗前显著升高(P<0.05),对照组则无显著变化(P>0.05),与健康组比较差异无显著性(P>0.05)。结论 接受式音乐治疗对改善精神分裂症患者认知功能具有增效作用。更多还原

【Abstract】 Objective To explore the effect of receptive music therapy on cognitive function of schizophrenia patients.Methods Fifty-eight schizophrenics were divided into two groups,both groups received aripiprazole,and research group was plus receptive music therapy for 8 weeks.Selected 29 healthy adults were assigned to health group.Efficacies were assessed with the Brief Psychiatric Rating Scale（BPRS）before and after treatment and P300 detections carried out in research and control group;P300 detections were carried out at enrolment in health group.Results At the end of the 8^thweek the BPRS scores of both research and control group lowered more significantly compared with pretreatment（P<0.01）,so did that in research than control group（P<0.01）;obvious and total effective rate were higher in research than control group,but differences weren’t significant（P>0.05）.Before treatment P300 latencies prolonged more significantly（P<0.01）and amplitudes lowered（P<0.01）in both research and control than health group;at the end of the 8^th week P300 latencies of both research and control group shortened more significantly compared with pretreatment（P<0.05 or 0.01）,amplitude heightened in research group（P<0.05）,that had no significant change in control group（P>0.05）and difference from that in health group（P>0.05）.Conclusion Receptive music therapy has a synergism in improving the cognitive function of patients with schizophrenia.更多还原