【摘要】 目的探讨认知行为治疗(CBT)对精神分裂症难治性妄想及认知偏差的效果。方法选取2011年6月~2015年3月期间在我院住院的62例精神分裂症难治性妄想及认知偏差患者,将其随机分为观察组与对照组,分别予CBT联合药物治疗及单用药物治疗,并于9周及18周后用精神症状评定量表(PSYRATS)和达沃斯认知偏差评定量表(DACOBS)评价效果。结果观察组在治疗9、18周后,患者的妄想症状、认知偏差相比治疗前有明显改善(t=3.17、4.54、2.15、4.30,均P<0.05),且改善程度优于对照组(t=2.15、2.87、2.12、4.15,均P<0.05);治疗后观察组的治疗效果明显优于对照组(P=0.001)。结论 CBT不仅能改善精神分裂症的难治性妄想,且有助于改善患者的认知偏差。更多还原

【Abstract】 Objective To explore the effect of schizophrenia patients with cognitive behavioral therapy in refractory delusion and cognitive bias. Methods 62 schizophrenia patients with cognitive behavioral therapy in refractory delusion and cognitive bias from June 2011 to March 2015 of our hospital were selected and random divided into observation group and control group.Patients in two groups were respectively given CBT combined with drug therapy and simply drug therapy.The effect was evaluated by using PSYRATS and DACOBS respectively after 9 weeks and 18 weeks. Results After treatment for 9 weeks and 18 weeks,the patients′ delusion and cognitive bias in observation group were improved obviously compared with before treatment(t=3.17,4.54,2.15,4.30,P<0.05),and the improvement degree were better than those in control group(t=2.15,2.87,2.12,4.15,P<0.05).The effect in observation group was better than that in control group after treatment(P=0.001). Conclusion Cognitive behavioral therapy can not only improvement the refractory delusion of schizophrenia,but also helpful to the patients′cognitive bias.更多还原