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中文摘要: 目的 探讨支持性性心理治疗对慢性精神分裂症患者述情障碍的治疗疗效。方法 将70名慢性精神分裂症患者随机分为二组，一组除常规药物治疗外采用为期12周的支持性心理治疗，一组予以常规药物治疗，探索干预后及6个月时述情障碍总分及其因子分变化。结果：与对照组相比，干预后及6个月随访时，研究组精神分裂症患者述情障碍检出率明显降低（P0.05）。此外，两组TAS-20量表总分及情感描述不能因子分在分组主效应、时间效应及分组与时间交互效应的差异有统计学意义（P0.05）。情感辨别不能因子分在分组主效应的差异无统计学意义（P＞0.05），在时间效应及分组与时间交互效应的差异有统计学意义（P0.05）；外向性思维因子分在分组主效应及分组与时间交互效应均无统计学差异（P＞0.05），在时间效应有统计学差异（P0.05）。结论 支持性心理治疗能够减少慢性精神分裂症患者的述情障碍检出率及降低严重程度。
Abstract:OBJECTIVE To discuss the curative effects of supportive psychotherapy on the chronic schizophrenia patients. METHODS 70 patients were randomly divided into two groups. One group received a 12-week supportive psychotherapy, to analyze changes in alexithymia (TAS total score and its factor score) after intervention and at 6 months. RESULTS Compared with the control group, after the intervention (12.5%, 38.2%;) and 6 months follow-up (12.5%, 35.3%), the rates of alexithmia in the study group were significantly lower (P＜0.05). In addition, between the group main effect, time effect, and grouping and time interaction, the total score of the TAS-20 scale and the factor difficulty of describing feelings were statistically significant (P＜0.05). There was no statistically significant difference in the main effect of grouping between the factor difficulty of identifying feelings(P>0.05), and there were statistical differences between time effect and grouping and time interaction (P＜0.05). The factor externally oriented thinking in grouping main effects, and grouping and time interaction was no significant difference(P>0.05), and there was a statistically significant difference in time effect (P＜0.05). CONCLUSION Supportive psychotherapy could reduce the detection rate and the severity of alexithymia in patients with chronic schizophrenia.
keywords: schizophrenia supportive psychotherapy alexithymia
文章编号：3201909025 中图分类号：R1-9 文献标志码：
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