内观疗法对精神分裂症患者应对方式的影响

摘要

目的：探讨内观疗法对精神分裂症患者心理状态及应对方式的影响。方法：将284例精神分裂症患者按照入组顺序分组，对照组按照精神分裂症治疗常规，研究组在常规治疗基础上加用内观疗法，治疗6周。在入组时和出组时分别对患者进行阳性与阴性症状量表（PANSS）、简易应对方式问卷（SCSQ）、防御方式问卷（DSQ ）、汉密尔顿抑郁量表（HAMD）、汉密尔顿抑郁量表（HA‐MA）。结果：第6周研究组掩饰型因子分、消极应对因子分值显著低于对照组（P ＜0．05）；研究组第6周掩饰型因子分、消极应对因子分值显著低于治疗前（ P ＜0．05）；研究组及对照组第6周PANSS 总分及各因子分显著低于治疗前（P＜0．05）。结论：内观疗法可以改善精神分裂症应对方式及防御方式，改善心理状态。%Objective :To study the influence on Coping style in patients with Schizophrenia by Naikan thera‐py .Methods :284 patients with Schizophrenia were divided into study group and control group according to the set sequence .The study group were simulated by Naikan therapy based on routine cure and the control group were rou‐tine cure .All patients were assessed by Positive and negative symptom scale (PANSS) ,Simple coping style ques‐tionnaire (SCSQ) ,Defense way questionnaire (DSQ) ,Hamilton depression scale (HAMD) ,Hamilton anxiety scale (HAMA) .Results :In the 6th weeks ,The difference of cover factor ,negative coping were significantly between the two groups (P< 0 .05) ;The difference of Cover factor ,negative coping were significantly between the 0th ,6 th weeks of the study groups (P < 0 .05) ;The difference of PANSS score were significantly between the 0th ,6 th weeks of the two groups .Conclusion :The Naikan therapy can improve the mental symptoms in patients with Schiz‐ophrenia to improve coping style .