鼓圈治疗对精神分裂症康复期患者阴性症状和社会功能的影响
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摘要
目的:探讨鼓圈治疗对精神分裂症康复期患者阴性症状和社会功能的影响。方法:选取住院精神分裂症康复期患者72例(按国际疾病分类第十版ICD-10诊断标准)服用非典型抗精神病药物,病史在3年及以上的住院患者,随机分为两组,36例作为研究组,在非典型抗精神病药物治疗及常规护理的基础上给予鼓圈治疗(每周两次,每次40～50分钟,共12周),36例作为对照组,给予非典型抗精神病药物治疗及常规护理。采用阳性与阴性症状量表(PANSS)和住院精神病人社会功能评定量表(SSFPI)于疗前、疗后6周、12周分别进行评定。结果:①治疗后6周两组患者的阴性量表分(t=2.439,P=0.017)、PANSS总分(t=2.331,P=0.023)差异有统计学意义。治疗后12周两组阳性量表分(t=2.616,P=0.011)、阴性量表分(t=8.386,P<0.001)、一般精神病理评分(t=5.685,P<0.001)、PANSS总分(t=7.431,P<0.001)差异均有统计学意义;治疗后6周两组患者SSFPI总分(t=4.298,P<0.001)、因子Ⅱ评分(t=2.083,P=0.041)、因子Ⅲ评分(t=3.966,P<0.001)差异有统计学意义。治疗后12周两组患者SSFPI总分(t=5.889,P<0.001)、因子Ⅱ评分(t=4.523,P<0.001)、因子Ⅲ评分(t=2.427,P=0.018)差异均有统计学意义。结论:相比单纯使用抗精神病药物治疗及护理的患者,给予鼓圈治疗能更为有效地改善精神分裂症康复期患者的阴性症状和社会功能。
Objective:To investigate the effect of drum circle therapy on negative symptoms and social function in patients with residual schizophrenia.Methods:A total of 72 inpatients with residual schizophrenia were selected.All patients had a history of more than 3 years and were treated with regular antipsychotic drugs.They were randomly divided into a study group(36 patients)and a control group(36 patients).The patients in study group were treated with drum circle therapy.The positive and negative syndrome scale(PANSS)and The Scale of Social function of Psychosis Inpatients(SSFPI)were evaluated before and after treatment.Results:①After 6 weeks of treatment,there was significant difference between the two groups in the negative scale and the PANSS total score(t=2.439,2.331;P<0.05).After 12 weeks of treatment,two groups of patients' positive scale,negative scale,general mental pathology score,PANSS total score difference were statistically significant(t=2.616,8.386,5.685,7.431;P<0.05).②The scores of SSFPI,factor II and factor III in the two groups were statistically significant after 6 weeks of treatment.(t=4.298,2.083,3.966;P<0.05)The scores of SSFPI,factor I,factor II and factor III were significantly different between the two groups after 12 weeks of treatment(t=5.889,4.523,2.427;P<0.05).Conclusion:Using of drum circle therapy is more effective in improving negative symptoms and social function in patients with residual schizophrenia than in patients treated with antipsychotic drugs alone.
Objective:To investigate the effect of drum circle therapy on negative symptoms and social function in patients with residual schizophrenia.Methods:A total of 72 inpatients with residual schizophrenia were selected.All patients had a history of more than 3 years and were treated with regular antipsychotic drugs.They were randomly divided into a study group(36 patients)and a control group(36 patients).The patients in study group were treated with drum circle therapy.The positive and negative syndrome scale(PANSS)and The Scale of Social function of Psychosis Inpatients(SSFPI)were evaluated before and after treatment.Results:①After 6 weeks of treatment,there was significant difference between the two groups in the negative scale and the PANSS total score(t=2.439,2.331;P<0.05).After 12 weeks of treatment,two groups of patients' positive scale,negative scale,general mental pathology score,PANSS total score difference were statistically significant(t=2.616,8.386,5.685,7.431;P<0.05).②The scores of SSFPI,factor II and factor III in the two groups were statistically significant after 6 weeks of treatment.(t=4.298,2.083,3.966;P<0.05)The scores of SSFPI,factor I,factor II and factor III were significantly different between the two groups after 12 weeks of treatment(t=5.889,4.523,2.427;P<0.05).Conclusion:Using of drum circle therapy is more effective in improving negative symptoms and social function in patients with residual schizophrenia than in patients treated with antipsychotic drugs alone.
引文
[1]张治坤,孙华,张荣,等.精神分裂症患者及其一级亲属认知功能和阴性症状相关性研究[J].临床精神医学杂志,2017,27(2):123-125
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[7]朱志伟,张刃,范彤彤,等.TC模式下打击乐对女性甲基苯丙胺依赖者情绪障碍的干预治疗[J].中国药物依赖性杂志,2013,22(3):203-208
[8]刘平,许又新.精神与行为障碍分类研究用诊断标准[M].北京:人民卫生出版社,1995:67-68
[9]张刃,吴丽花.鼓圈音乐治疗对新型毒品女性成瘾者心理干预的研究[J].中国药物依赖性杂志,2014,23(6):444-445
[10]张作记.行为医学量表手册[M].北京:中华医学电子音像出版社,2005:355-359;343-345
[11]Faulkner S,Wood L J,Ivery P V,et al.It is not just music and rhythm...evaluation of a drumming-based intervention to improve the social wellbeing of alienated youth[J].Children Australia,2012:37(1):31-39
[12]Ho P,Tsao J C,Bloch L,et al.The impact of group drumming on social-emotionalbehavior in low-income children[J].Evidence-Based Complementary and Alternative Medicine,2011:1-14
[13]Lin A,Wood S J,Nelson B,et al.Neurocognitive predictors of functional outcome two to 13years after identification as ultrahigh risk for psychosis[J].Schizophr Res,2011,132(1):1-7
[14]Fujimaki K,Morinbu S,Yamashita H,et al.Predictors of quality of life in inpatients with schizophrenia[J].Psychiatry Res,2012,197(3):199-205
[15]Mao Z Q,Li D,Zhang G F,et al.Effect of music therapy on re habilitation of chronic schizophrenia patients[J].China Journal of Health Psychology,2013,21(01):56-57
[16]Ma D Y,Chang X D.Study progress on rehabilitation training of patients with chronic psychosis[J].China Journal of Health Psychology,2014,22(04):639-641
[17]Zha Z Q,Li D,Wu Q F,et al.The effect of receptive music therapy in cognitive function of schizophrenia patients in remission[J].China Journal of Health Psychology,2012,20(7):1039-1040
[2]沈渔邨.精神病学[M].5版.北京:人民卫生出版社,2009:120-121
[3]Siegrist K,Millier A,Amri I,et al.Association between social contact frequency and negative symptoms,psychosocial functioning and quality of life in patients with schizophrenia[J].Psychiatry Res,2015,230(3):860-866
[4]黄晓莹,黄涛.音乐治疗在康复医学中的应用[J].中国临床康复,2004,8(22):4578-4579
[5]孙丽娟.“妙悟”音乐心与境[M].北京:科学出版社,2012:199-200
[6]Bittman B B,Berk L S,Felten D L,et al.Composite effects of group drumming music therapy on modulation of neuroendocrine-immune parameters in normal participants[J].Alternative Therapies in Health and Medicine.2001,7(1):38-47
[7]朱志伟,张刃,范彤彤,等.TC模式下打击乐对女性甲基苯丙胺依赖者情绪障碍的干预治疗[J].中国药物依赖性杂志,2013,22(3):203-208
[8]刘平,许又新.精神与行为障碍分类研究用诊断标准[M].北京:人民卫生出版社,1995:67-68
[9]张刃,吴丽花.鼓圈音乐治疗对新型毒品女性成瘾者心理干预的研究[J].中国药物依赖性杂志,2014,23(6):444-445
[10]张作记.行为医学量表手册[M].北京:中华医学电子音像出版社,2005:355-359;343-345
[11]Faulkner S,Wood L J,Ivery P V,et al.It is not just music and rhythm...evaluation of a drumming-based intervention to improve the social wellbeing of alienated youth[J].Children Australia,2012:37(1):31-39
[12]Ho P,Tsao J C,Bloch L,et al.The impact of group drumming on social-emotionalbehavior in low-income children[J].Evidence-Based Complementary and Alternative Medicine,2011:1-14
[13]Lin A,Wood S J,Nelson B,et al.Neurocognitive predictors of functional outcome two to 13years after identification as ultrahigh risk for psychosis[J].Schizophr Res,2011,132(1):1-7
[14]Fujimaki K,Morinbu S,Yamashita H,et al.Predictors of quality of life in inpatients with schizophrenia[J].Psychiatry Res,2012,197(3):199-205
[15]Mao Z Q,Li D,Zhang G F,et al.Effect of music therapy on re habilitation of chronic schizophrenia patients[J].China Journal of Health Psychology,2013,21(01):56-57
[16]Ma D Y,Chang X D.Study progress on rehabilitation training of patients with chronic psychosis[J].China Journal of Health Psychology,2014,22(04):639-641
[17]Zha Z Q,Li D,Wu Q F,et al.The effect of receptive music therapy in cognitive function of schizophrenia patients in remission[J].China Journal of Health Psychology,2012,20(7):1039-1040