社会技能训练对康复期精神分裂症患者认知症状的疗效

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• 英文论文题名：Study on the effects of social skill training on cognitive function for schizophrenia patients in remission
• 论文作者：朱春燕 ; 孙继军 ; 江长旺 ; 陶云海 ; 申变红 ; 徐婷婷 ; 施剑飞
• 英文论文作者：Zhu Chun-yan ; Sun ji-jun ; Jiang Chang-wang ; The Seventh people's Hospital of Hangzhou
• 年：2014
• 作者机构：杭州市第七人民医院一病区;
• 论文关键词：社会技能训练 ; 精神分裂症 ; 认知功能 ; 康复期
• 英文论文关键词：social skill training ; schizophrenia ; cognitive function ; remission
• 会议召开时间：2014-11-20
• 会议录名称：2014浙江省医学会精神病学分会学术年会、浙江省医师协会精神科医师分会第七届年会论文汇编
• 语种：中文
• 分类号：R749.3
• 学会代码：ZJKX
• 会议名称：2014浙江省医学会精神病学分会学术年会、浙江省医师协会精神科医师分会第七届年会
• 会议地点：中国浙江湖州
• 主办单位：浙江省医学会精神病学分会（The Society of Psychiatry ; ZJMA）、浙江省医师协会精神科医师分会
• 学会名称：浙江省科学技术协会
• 页数：4
• 文件大小：328k
• 原文格式：O
• 会议级别：地方

摘要

目的探讨社会技能训练对康复期精神分裂症患者的认知症状的疗效。方法 94例康复期患者,按随机数字表法分成实验组(n=47)和对照组(n=47),实验组予12周的社会技能训练。于基线、12周、12个月时进行WCST、TMTA、TMT-B、P300等认知功能评定,采用重复测定资料的方差分析两组认知功能的差别。结果训练前,两组认知功能差异无统计学意义(F=0.001~1.711,P=0.207~0.973);训练后:实验组WCST总测验次数(63.30±12.45)、正确数(30.90±3.14)、持续错误数(20.53±2.01)、随机错误数(23.00±3.29)、TMT-A(57.33±11.59)、TMT-B(171.15±23.75)、数字广度(10.54±1.54)、P300波幅(9.58±1.88)uV、潜伏期(263.95±20.75)ms的变化优于对照组[(79.41±15.88)、(27.20±2.44)、(22.70±3.65)、(29.20±4.10)、(71.02±8.72)、(242.44±31.28)、(6.15±1.49)uV、(306.00±27.82)ms],差异有统计学意义(F=4.470~6.220,P=0.023~0.049)。结论社会技能训练能有效改善康复期精神分裂症患者的认知功能。
Objective To explore the effects of social skill training on cognitive function for schizophrenia patients in remission.Methods A total of ninety-four schizophrenia patients were randomly(by table of random digit) divided into intervention group(n=47)and control group(n=47).In intervention group,social skill training plus regular therapy were adopted.WCST,TMT-A,TMT-B and P300 were used to evaluate cognitive function at baseline,12 weeks and 12 month followed-up after treatment.ANOVA of repeated measurement data was used to analyze the data.Results Before social skills training,there was no difference in two groups in cognitive function,after 12 weeks of social skills training,in intervention group,WCST total number of tests(63.30 ± 12.45),the correct numbers(30.90 ± 3.14),perseverative errors(20.53 ± 2.01),random errors(23.00 ± 3.2),TMT-A(57.33 ± 11.59),TMT-B(171.15 ± 23.75),digit span test(10.54 ± 1.54),the amplitude(9.58 ± 1.88)uV and latency(263.95 ± 20.75)ms of P300 were significantly improved than control group[(79.41 ± 15.88),(27.20 ± 2.44),(22.70 ± 3.65),(29.20 ± 4.10),(71.02 ± 8.72),(242.44 ± 31.28),(6.15 ± 1.49)uV,(306.00 ± 27.82)ms],the difference was significant(F=4.470 ~ 6.220,P=0.023 ~ 0.049).Conclusions The cognitive function of schizophrenia patients may benefit more from treatment with social skill training.

引文

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