心理情景剧对慢性精神分裂症患者共情能力的影响

摘要

目的：探讨心理情景剧对慢性精神分裂症患者共情能力的影响。方法选取2013年3-12月河北省荣军医院住院的男性精神分裂症患者116例，采用随机数字表法将患者分为研究组和对照组各58例。两组均服用原有抗精神病药，对研究组辅以心理情景剧治疗，3个月为1疗程。于干预前、后应用中文版人际反应指针量表（IRI - C）、阴性症状量表（SANS）、住院精神患者社会功能评定量表（SSPI）、罗森伯格自尊量表（SES）、情绪-社交孤独问卷（ESLI）、得克萨斯社交行为问卷（TSBI）分别进行测定。结果组间比较：干预前两组中文版 IRI - C 总分及观点采择（PT）、幻想力（FS）、同情性关心（EC）和个人痛苦（PD）得分比较，差异无统计学意义（P >0.05）；干预后研究组中文版 IRI - C 总分及 PT、FS、EC 得分均高于对照组（P <0.05）。组内比较：两组干预后中文版 IRI - C 总分及 PT、FS、EC 得分均较干预前增加（P <0.05）。组间比较：干预前两组 SANS、SSPI、TSBI、SES、ESLI 得分比较，差异无统计学意义（ P >0.05）；干预后两组 SANS、SSPI、TSBI、SES、ESLI 得分比较，差异有统计学意义（ P <0.05）。组内比较：对照组干预前后 SANS、SSPI、TSBI、SES、ESLI 得分比较，差异无统计学意义（ P >0.05）；研究组干预前后 SANS、SSPI、TSBI、SES、ESLI 得分比较，差异均有统计学意义（P <0.05）。结论心理情景剧能提高慢性精神分裂症患者的共情能力，改善阴性症状和社会功能，增加患者与人交往的自尊和自信心，减轻社交孤独。%Objective To explore the influences of psychological sitcom on empathy of hospitalized chronic schizo-phrenics. Methods A total of 116 hospitalized patients from March to December 2013 in Rongjun Hospital,with chronic schiz-ophrenia(CS)were randomly divided into groups study and control,58 in each. Based on original antipsychotic agents,we supplemented group study with psychological sitcom,3 months as a course. We used Chinese version Interpersonal Reaction Pointer Scale(IRI - C),Scale for Assessment of Negative Symptoms(SANS),Scale of Social - Skills for Psychiatric Inpa-tients(SSPI),Rosenberg Self - Esteem Scale(SES),Emotional - Social Loneliness Inventory(ESLI),Texas Social Behav-ior Inventory(TSBI)to assess the effects of psychological sitcom. Results In group comparison,there was no significant difference in IRI - C total score,scores of PT,FS,EC,PD between 2 groups before intervention(P > 0. 05),and higher in study group than in control group after intervention(P < 0. 05). In intra - group comparison,IRI - C total score,scores of PT, FS,EC were higher after intervention than before in 2 groups( P < 0. 05). In group comparison,there was no difference in scores of SANS,SSPI,TSBI,SES,ESLI before intervention(P > 0. 05),but there was after intervention(P < 0. 05). In intra - group comparison,there was no difference in scores of SANS,SSPI,TSBI,SES,ESLI between pre - or post - inter-vention in control group(P > 0. 05),but there was in study group(P < 0. 05). Conclusion Psychological sitcom can im-prove CS patients' empathy ability,negative symptoms and social function,self - esteem and self - confidence in integrating with other people,reduce their social loneliness.