Liberman R P, Green M F
Camarillo-UCLA Research Center 93011-6022.
Schizophr Bull. 1992;18(1):27-35. doi: 10.1093/schbul/18.1.27.
Clinical studies of cognitive therapy and rehabilitation for persons with schizophrenia have generated promising findings of improvements in patients' cognitive and clinical status. However, the results do not appear to be specific to a particular form of intervention, and long-term evaluations of cognitive therapy, as an element in a comprehensive system of care, need to be conducted for clinical validation. Rehabilitation efforts should be congruent with laboratory findings of specific cognitive deficits, including those that are "vulnerability indicators" and endure beyond symptomatic episodes. With the demonstration that chronic schizophrenic patients can learn a variety of cognitive and behavioral skills through Integrated Psychological Therapy and other psychosocial treatments, the future appears bright for a profusion of new modalities aimed at cognitive-behavioral rehabilitation, especially those that emerge from what is known about information-processing deficits in schizophrenia.
针对精神分裂症患者的认知疗法及康复的临床研究已取得了令人鼓舞的成果，患者的认知和临床状况均有改善。然而，这些结果似乎并非特定于某种特定形式的干预措施，因此需要对认知疗法作为综合护理体系中的一个要素进行长期评估，以进行临床验证。康复工作应与特定认知缺陷的实验室研究结果相一致，这些缺陷包括那些作为“易感性指标”且在症状发作后仍持续存在的缺陷。随着有证据表明慢性精神分裂症患者可以通过综合心理疗法及其他社会心理治疗学会多种认知和行为技能，针对认知行为康复的大量新方法，尤其是那些基于精神分裂症信息处理缺陷的已知情况而产生的新方法，其前景似乎一片光明。
