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[癫痫与心理治疗方法(心理疗法)康复]

[Epilepsy and rehabilitation using psychological methods (psychotherapy)].

作者信息

Preiss J, Kolínová M

机构信息

Psychiatrické oddĕlení fakultní polikliniky FN II, Praha.

出版信息

Cesk Neurol Neurochir. 1991 Jul;54(3):160-5.

PMID:1751974
Abstract

41 subjects (39 patients and two mothers) participated in 1983-1988 in group psychotherapy for ambulatory adult patients focused on psychosocial problems and questions of the therapeutic regime. According to the independent evaluation by the attending physician the individually outlined goal was achieved in 38% of the patients. 31% of the patients left without a special effect, however, participation in the group meant probably a certain enrichment of their life. Another 31% of the patients had a negative attitude to participation in the group. Successful patients attended much longer, had a significantly higher verbal IQ and all responded reliably in Washington's psychosocial seizure inventory--WPSI. Conversely, 27% of the other patients gave invalid responses to WPSI. Psychological procedures should be part of a wider scale of rehabilitation approaches to epilepsy, including occupational rehabilitation and club activities.

摘要

1983年至1988年期间,41名受试者(39名患者和两名母亲)参加了针对非卧床成年患者的团体心理治疗,该治疗聚焦于心理社会问题和治疗方案相关问题。根据主治医生的独立评估,38%的患者实现了各自设定的目标。31%的患者离开时未产生特殊效果,然而,参与团体治疗可能意味着他们的生活有了一定充实。另有31%的患者对参与团体治疗持消极态度。成功的患者参与时间更长,言语智商显著更高,并且在华盛顿心理社会癫痫量表(WPSI)上的所有反应都可靠。相反,其他患者中有27%对WPSI给出了无效反应。心理治疗程序应成为更广泛的癫痫康复方法的一部分,包括职业康复和俱乐部活动。

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