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[精神分裂症患者的生活质量与健康相关问题解决技能——参加社交技能训练组与心理教育组患者的比较]

[Quality of life of schizophrenia patients and health related problem solving skills--comparison between the group of patient participated in social skills training and psychoeducation group].

作者信息

Kasperek Beata, Spiridonow Katarzyna, Chadzyńska Małgorzata, Meder Joanna

机构信息

Zakładu Rehabilitacji Psychiatrycznej IPiN w Warszawie.

出版信息

Psychiatr Pol. 2002 Sep-Oct;36(5):717-30.

Abstract

AIM

The aim of this study was to obtain answers to the following questions: 1. Are there differences in the level of knowledge among the patients divided into two groups t. i. social skills training group (SSTG) and psychoeducation group (SG)? 2. Do the differences correlate with the level of subjective quality of life (SQOL)? 3. Does the participation at two groups influence SQOL and whether this correlates with two different methods of running of rehabilitation activities such as social skills training and psychoeducation?

METHOD

The group of 47 patients diagnosed with schizophrenia by DSM-IV were tested. They were divided into two groups: SSTG (24 persons) and SG (23 persons).

RESULTS

The increase of knowledge in coping with schizophrenia symptoms was significant in the whole tested group but it was significantly higher in the training group. The SQOL and the level of knowledge in schizophrenia do not correlate. The level of SQOL decreased after taking part in social skills training.

CONCLUSIONS

  1. The participation at any of tested rehabilitation activities causes an increase in the knowledge of coping with the problems resulting from schizophrenia. 2) The level of knowledge in schizophrenia does not directly influence SQOL. The level of SQOL significantly decreased in SSTG. It suggests that clinicians should concentrate on the stage just after the training cycle in order to support the patients by giving positive reinforcement.
摘要

目的

本研究旨在回答以下问题:1. 分为两组即社交技能训练组(SSTG)和心理教育组(SG)的患者在知识水平上是否存在差异?2. 这些差异是否与主观生活质量(SQOL)水平相关?3. 参与这两组是否会影响主观生活质量,以及这是否与两种不同的康复活动开展方式(如社交技能训练和心理教育)相关?

方法

对47名根据《精神疾病诊断与统计手册》第四版(DSM-IV)诊断为精神分裂症的患者进行测试。他们被分为两组:社交技能训练组(24人)和心理教育组(23人)。

结果

整个测试组在应对精神分裂症症状方面的知识增加显著,但训练组的增加幅度明显更高。主观生活质量与精神分裂症知识水平不相关。参与社交技能训练后主观生活质量水平下降。

结论

1)参与任何一项测试的康复活动都会使应对精神分裂症所致问题的知识增加。2)精神分裂症知识水平不会直接影响主观生活质量。社交技能训练组主观生活质量水平显著下降。这表明临床医生应关注训练周期结束后的阶段,以便通过给予积极强化来支持患者。

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