动力取向心理治疗改善儿童少年精神分裂症精神病性症状个案研究

摘要

目的：探索动力取向心理治疗对儿童少年精神分裂症的疗效。方法对符合《精神障碍诊断与统计手册（第4版）》（DSM - IV）精神分裂症诊断标准的儿童少年患者1例进行每周1次的动力取向心理治疗。使用简明精神病量表（BPRS）对患者在干预前、干预后及治疗结束3个月后实施测评。结果经过动力取向心理治疗后，患者 BPRS 总评分及各项因子评分的减分率均在50％以上，其效果在治疗结束后3个月内的随访期仍保持稳定。结论动力取向心理治疗在改善儿童少年精神分裂症精神病性症状存在一定的可能性，但未来仍需更多的实证研究进一步说明。%Objective To investigate the effects of the psychodynamic psychotherapy on psychotic symptoms of children and ado-lescents with schizophrenia. Methods A patient received the psychodynamic psychotherapy for 1 time per week and lasted 3 months. Brief Psychiatric Rating Scale(BPRS)was completed at pre - post treatment and a 3 monthˊs follow up. Results The BPRS score re-duction was over 50% though psychodynamic psychotherapy. The improvements maintained at 3 monthˊs follow up. Conclusion The psychodynamic psychotherapy may be helpful to improve the psychotic symptoms for children and adolescents with schizophrenia,how-ever,more empirical studies are needed in the future of this area.