【摘要】 目的 探讨团体认知行为治疗（G-CBT）对精神分裂症患者一级亲属心理健康状况的干预效果评价。方法 选取2020年1月～2021年1月期间深圳市龙华区慢性病防治中心服药精神分裂症患者120例，以每例患者的1例一级亲属为研究对象。采用随机数表法随机分为对照组（60例）和干预组（60例），对照组仅给予心理健康教育、药物治疗；干预组给予G-CBT和心理健康教育、药物治疗，干预时间均为8周，每周1次。入组前4周、干预后8周、12周分别采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、症状自评量表（SCL-90）评定两组家属的心理健康状况。结果 G-CBT干预后8周、12周对照组与干预组组间家属SDS、SAS评分比较，差异有统计学意义（P <0.05）。G-CBT干预后8周，对照组与干预组家属组间症状自评量表（SCL-90）评分比较，差异有统计学意义（P <0.05），其中躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性等因子评分比较，差异有统计学意义（P <0.05）。结论 团体认知行为治疗可在一定期间有效改善精神分裂症患者家属的焦虑、抑郁状态和人际关系、减少心理应激水平、改善家庭功能，为精神分裂症患者提供家庭支持。使患者感受到的主观支持增加，可能有利于改善患者精神病性症状，提高社会功能。更多还原

【Abstract】 Objective To explore the intervention effect of group cognitive behavioral therapy(G-CBT)on the mental health status of first-degree relatives of schizophrenic patients.Methods 120 schizophrenic outpatients were selected from January 2020 to January 2021.One first-class family member of each patient was selected as the research object.They were randomly divided into control group(60 cases)and intervention group(60 cases).The control group was only given mental health education and drug treatment;The intervention group was G-CBT,mental health education and drug treatment.The intervention time was 8 weeks,once a week.Self rating anxiety scale(SAS),self rating depression scale(SDS)and symptom checklist 90(SCL-90)were used to evaluate the mental health status of the family members of the two groups 4 weeks before admission,8 weeks and 12 weeks after intervention.Results There was significant difference in SDS and SAS scores between the control group and the intervention group at 8 and 12weeks after g-cbt intervention(P < 0.05).8 weeks after g-cbt intervention,there was significant difference in the scores of symptom checklist 90(SCL-90)between the control group and the family members of the intervention group(P < 0.05).Among them,there was significant difference in the scores of somatization,obsessive-compulsive symptoms,interpersonal sensitivity,depression,anxiety,hostility,terror,paranoia and psychosis(P < 0.05).Conclusion G-CBT can effectively improve the anxiety,depression and interpersonal relationship of schizophrenic family members,reduce the level of psychological stress,improve family function,and provide family support for schizophrenic patients.The increase of subjective support felt by patients may be conducive to improving patients’ psychotic symptoms and social function.更多还原