焦点解决短期取向团体治疗对康复期精神分裂症患者自我效能感的影响研究

发布时间：2018-04-25 00:05

本文选题：精神分裂症 + 焦点解决短期治疗　；参考：《中国全科医学》2016年31期

【摘要】：目的探讨焦点解决短期取向团体治疗对康复期精神分裂症患者自我效能感的影响。方法选取2014年5月—2015年5月在江西省赣州市第三人民医院住院的康复期精神分裂症患者100例,采用随机数字表法分为研究组和对照组,各50例。研究组给予焦点解决短期取向团体治疗;对照组给予常规的团体心理辅导。采用一般自我效能感量表(GSES)评估自我效能感水平,采用简明精神病量表(BPRS)评估精神症状。结果两组自我效能感得分间差异有统计学意义(P0.05),不同时间点自我效能感得分间差异亦有统计学意义(P0.05),但治疗方法与时间在自我效能感得分上并不存在交互作用(P0.05)。焦虑忧郁、缺乏活力、思维障碍、敌对猜疑因子得分及总分与自我效能感得分均呈直线负相关(P0.05),而激活性因子得分与自我效能感得分呈直线正相关(P0.05)。多元线性逐步回归分析结果显示,焦虑忧郁因子得分及总分是自我效能感得分的影响因素(P0.05)。结论焦点解决短期取向团体治疗能够明显提高康复期精神分裂症患者的自我效能感水平,且自我效能感水平与焦虑、忧郁等因素有关。
[Abstract]:Objective to investigate the effect of short-term orientation group therapy on self-efficacy of schizophrenic patients in convalescent period. Methods from May 2014 to May 2015, 100 schizophrenic patients who were hospitalized in the third people's Hospital of Ganzhou City, Jiangxi Province, were randomly divided into study group and control group with 50 cases each. The study group was given short-term group therapy and the control group was given routine group counseling. General self-efficacy scale (GSES) was used to assess the level of self-efficacy, and brief psychiatric scale (BPRS) was used to evaluate mental symptoms. Results there was significant difference in the scores of self-efficacy between the two groups (P 0.05). There was also a significant difference in the scores of self efficacy between the two groups at different time points (P 0.05), but there was no interaction between treatment methods and time on the score of self efficacy (P 0.05). The scores of anxiety and depression, lack of vitality, mental disorder, hostile suspicion factor and total score were negatively correlated with the scores of self-efficacy (P0.05), while the scores of irritative factors were positively correlated with the scores of self-efficacy (P0.05). Multiple linear stepwise regression analysis showed that anxiety and depression factor score and total score were the influencing factors of self-efficacy score (P 0.05). Conclusion Short-term group therapy of focus resolution can significantly improve the level of self-efficacy in patients with schizophrenia during rehabilitation, and the level of self-efficacy is related to anxiety, depression and other factors.
【作者单位】：江西省赣州市第三人民医院心理治疗检测室;江西省赣州市第三人民医院科教科;江西省赣州市第三人民医院康复医学科;江西省赣州市第三人民医院心理热线室;江西省赣州市第三人民医院精神科;
【基金】：赣州市指导科技课题(GZ2014ZSF358)
【分类号】：R749.3

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