团体社交技能训练对青少年精神分裂症患者社会功能及社交心理的影响
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摘要
目的探讨团体社交训练对青少年精神分裂症患者社会功能及社交心理的影响。方法将203例青少年精神分裂症患者随机分为干预组(103例)和对照组(100例),两组患者均口服常规抗精神药物治疗和精神科常规护理,干预组在此基础上进行4周团体社交技能训练。干预前、干预4周后分别采用特质应对方式问卷(TCSQ)、社交回避及苦恼量表(SAD)、UCLA孤独量表(UCLA)、Rosenberg自尊量表(RSES)和住院精神病人社会功能评定量表(SSPI)进行评定。结果干预4周后,干预组TCSQ积极应对方式评分、RSES评分、SSPI总分和各因子得分,均较干预前显著提高且优于对照组,差异有统计学意义(均P<0.05);干预组SAD评分、UCLA评分较干预前显著降低且优于对照组,差异有统计学意义(P<0.05)。结论团体社交技能训练能有效改善青少年精神分裂症患者社会功能,并对其社交心理产生积极影响。
Objective To investigate the effect of social skills training on social function and social psychology of adolescent scizophrenia.Methods A total of 203 adolescents schizophrenia were randomly assigned into the intervention group(n=103)and control group(n=100).The two groups were given oral antipsychotic drugs and psychiatric routine care.On this basis,the intervention group conducted the social skills training for 4 weeks.The two groups were assessed by adopting the trait coping style questionnaire(TCSQ),social avoidance and distress scale(SAD),UCLA Loneliness Scale(UCLA),Rosenberg self-esteem scale(RSES)and the Scale of Social-Skills for Psychiatric Inpatients(SSPI)before intervention and after 4 weeks of intervention.Results After 4-weeks intervention,the TCSQ scores,RSES scores,SSPI total scores and each dimensionin scores in the intervention group were significantly increased compared with before intervention,moreover superior to the control group,and the difference was statistically significant(P<0.05);the SAD scores and UCLA scores in the intervention group were remarkably decreased compared with before intervention,moreover superior to the control group,and the difference was statistically significant(P<0.01).Conclusion The group social skills training can effectively improve the social skills of adolescent schizophrenia,and produces the active effect on their social intercourse psychology.
Objective To investigate the effect of social skills training on social function and social psychology of adolescent scizophrenia.Methods A total of 203 adolescents schizophrenia were randomly assigned into the intervention group(n=103)and control group(n=100).The two groups were given oral antipsychotic drugs and psychiatric routine care.On this basis,the intervention group conducted the social skills training for 4 weeks.The two groups were assessed by adopting the trait coping style questionnaire(TCSQ),social avoidance and distress scale(SAD),UCLA Loneliness Scale(UCLA),Rosenberg self-esteem scale(RSES)and the Scale of Social-Skills for Psychiatric Inpatients(SSPI)before intervention and after 4 weeks of intervention.Results After 4-weeks intervention,the TCSQ scores,RSES scores,SSPI total scores and each dimensionin scores in the intervention group were significantly increased compared with before intervention,moreover superior to the control group,and the difference was statistically significant(P<0.05);the SAD scores and UCLA scores in the intervention group were remarkably decreased compared with before intervention,moreover superior to the control group,and the difference was statistically significant(P<0.01).Conclusion The group social skills training can effectively improve the social skills of adolescent schizophrenia,and produces the active effect on their social intercourse psychology.
引文
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[12]DICKINSON D,BELLACK A S,GOLD J M.Social/communica-tion skills,cognition,and vocational unctioning in schizophrenia[J].Schizophr Bull,2007,33(5):12-13.
[13]KURTZ M M,SELTZER J C,FUJIMOTO M,et al.Predictors of change in Life skills in schizophrenia after cognitive remediation[J].Schizophr Res,2009,107(2/3):267-274.
[14]BOURGOU S,HALAYEM S,AMADO I,et al.Theory of mind in adolescents with early-onset schizophrenia:correlations with clinical assessment and executive functions[J].Acta Neuropsychiatr,2016,28(4):232-238.
[15]GIBSON C M,PENN D L,PRINSTEIN M J,et al.Social skill and social congnition in adolescents at genetic risk for psychosis[J].Schizophr Res,2010,122(1/3):179-184.
[16]傅慕君,张丽华,顾文谊.社交技能训练对慢性精神分裂症患者社会功能的影响[J].齐鲁护理杂志,2016,22(5):82-84.
[17]KURTZ M M,MUESER K T,THIME W R,et al.Social skills training and computer-assisted cognitive remediation in schizophrenia[J].Schizophr Res,2015,162(1/3):35-41.
[18]郭明,喻芳,闫兰,等.社交技能训练对非急性期青少年精神分裂症患者的疗效评估[J].重庆医学,2015,44(17):2354-2356.
[2]崔雪莲,李宁.精神分裂症患者社会功能的影响因素研究[J].国际精神病学杂志,2013,40(1):23-25.
[3]KLUWE-SCHIAVON B,SANVICENTE-VIEIRA B,KRIS-TENSEN C.Executive functions rehabilitation for schizophrenia:A critical systematic review[J].J Psychiatr Res,2013,47(1):91-104.
[4]GRANHOLM E,HOLDEN J L,SOMMERFELD D,et al.Enhancing assertive community treatment with cognitive behavioral social skills training for schizophrenia:study protocol for a randomized controlled trial[J].Trials,2015,16(1):1-13.
[5]戴军玲,杨晓玲.团体治疗对精神分裂症患者自尊、社会功能及自护能力的影响[J].齐鲁护理杂志,2015,21(21):21-23.
[6]李鸣.团体心理治疗-理论与实践[M].北京:中国轻工业出版社,2014:215.
[7]姜乾金,祝一虹.特质应对问卷的进一步探讨[J].中国行为医学科学,1999,8(3):167-169.
[8]彭纯子,范晓玲,李罗初.社交回避与苦恼量表在学生群体中的信效度研究[J].中国临床心理学杂志,2003,11(4):279-281.
[9]RUSSELL D,PEPLAU L A,CUTRONA C E.The rewised UCLA Loneliness Scale:Concurrent and discriminant validity evidence[J].J Pers Soc Psychol,1980,39(3):472-480.
[10]ROSENBERG F R,ROSENBERG M.Self-Esteem and delinquency[J].J Youth Adolesc,1978,7(3):279-294.
[11]宋亚军,张保利,李阳,等.住院精神病人社会功能评定量表在慢性精神分裂症患者中的应用[J].中国康复,2013,28(4):316-317.
[12]DICKINSON D,BELLACK A S,GOLD J M.Social/communica-tion skills,cognition,and vocational unctioning in schizophrenia[J].Schizophr Bull,2007,33(5):12-13.
[13]KURTZ M M,SELTZER J C,FUJIMOTO M,et al.Predictors of change in Life skills in schizophrenia after cognitive remediation[J].Schizophr Res,2009,107(2/3):267-274.
[14]BOURGOU S,HALAYEM S,AMADO I,et al.Theory of mind in adolescents with early-onset schizophrenia:correlations with clinical assessment and executive functions[J].Acta Neuropsychiatr,2016,28(4):232-238.
[15]GIBSON C M,PENN D L,PRINSTEIN M J,et al.Social skill and social congnition in adolescents at genetic risk for psychosis[J].Schizophr Res,2010,122(1/3):179-184.
[16]傅慕君,张丽华,顾文谊.社交技能训练对慢性精神分裂症患者社会功能的影响[J].齐鲁护理杂志,2016,22(5):82-84.
[17]KURTZ M M,MUESER K T,THIME W R,et al.Social skills training and computer-assisted cognitive remediation in schizophrenia[J].Schizophr Res,2015,162(1/3):35-41.
[18]郭明,喻芳,闫兰,等.社交技能训练对非急性期青少年精神分裂症患者的疗效评估[J].重庆医学,2015,44(17):2354-2356.