【摘要】 目的 探讨填充绘画训练对双相情感障碍患者自我和谐及认知功能的影响。方法 将44例双相情感障碍患者按随机数字表法分为两组,每组22例。两组均维持药物治疗及健康教育,实验组在此基础上联合填充绘画训练。观察8周。于干预前后,采用自我和谐量表评定患者的自我和谐状况,威斯康星卡片分类测验、韦氏成人智力量表及连线测试A评定患者的认知功能,比较两组的测试结果.结果 干预后实验组自我和谐量表总分及自我灵活性、自我刻板性因子分均较干预前显著降低(P<0.05或0.01),且自我不和谐性因子分显著低于对照组(P<0.05)。认知功能方面,实验组威斯康星卡片分类测验的总测验数、持续错误数、随机错误效及连线A测试时间、韦氏成人智力量表的数字广度、数字符号测试结果均较干预前显著改善(P<0.05或0.01),对照组仅数字广度测试结果较干预前显著改善(P<0.01),实验组显著优于对照组(P<0.05)。结论 填充绘画训练能有效改善双相情感障碍患者认知功能,有利于促进患者的自我和谐及疾病预后。更多还原

【Abstract】 Objective To investigate the effect of filler painting training on self harmonious and cognitive function of patients with bipolar disorder. Methods 44 patients with bipolar disorder were divided into two groups according to random number table method, 22 cases in each group. Both groups maintain drug treatment and health education, the experimental group on the basis of the joint filler painting training.Observed 8 weeks. Before and after intervention, using the self harmonious scale to assess the patient’s self harmonious condition, Wisconsin card sorting test, wechsler adult intelligence scale and connection test A to evaluate the cognitive function of two groups. Results After 8 weeks intervention, the scores of self-and experience dissonance, self-flexibility score, self-rigidity score and total score were significantly lower in the experimental group(P<0. 05 or 0. 01). The difference was statistically significant(P<0. 05). The total test number,the continuous error number,the random error number and the connection time of A in the indexes of cognitive function were significantly reduced. Digital range and digital symbol increase significantly. The difference was statistically significant(P<0. 05). Conclusion Filling painting training can effectively improve the cognitive function and promote the patient’s self harmony of patients with bipolar disorder.更多还原