随机比较急性精神分裂症患者的团体认知行为治疗和团体心理教育：对主观生活质量的影响。
Randomized comparison of group cognitive behaviour therapy and group psychoeducation in acute patients with schizophrenia: effects on subjective quality of life.
机构信息
Department of Psychiatry and Psychotherapy, University of Cologne, Germany.
出版信息
Aust N Z J Psychiatry. 2010 Feb;44(2):144-50. doi: 10.3109/00048670903393571.
OBJECTIVE
Although the clinical efficacy of cognitive behaviour therapy (CBT) has been established for patients with schizophrenia, the data on effects on quality of life (QoL) are lacking. The purpose of the present study was therefore to compare the effects of a brief group CBT and a group psychoeducational (PE) programme in patients with schizophrenia on QoL.
METHOD
A total of 88 inpatients with schizophrenia were randomized to receive a therapy envelope of 8 weeks including either 16 sessions of group CBT or eight sessions of group PE treatment. QoL was assessed using the Modular System for Quality of Life at baseline, post-treatment assessment and 6 month follow up.
RESULTS
QoL improved significantly in both treatments in most QoL dimensions. Within-group effect sizes for general QoL at follow up were 0.25 for CBT and 0.29 for PE. No significant differences between CBT and PE were found at post-treatment and at 6 month follow up.
CONCLUSIONS
Both brief group CBT and group PE improve subjective QoL in patients with schizophrenia.
目的
尽管认知行为疗法（CBT）已被证实对精神分裂症患者有效，但关于其对生活质量（QoL）影响的数据尚缺乏。因此，本研究旨在比较短期团体认知行为疗法和团体心理教育（PE）方案对精神分裂症患者 QoL 的影响。
方法
将 88 名住院精神分裂症患者随机分为两组，分别接受为期 8 周的治疗方案，包括 16 次团体认知行为疗法或 8 次团体心理教育治疗。使用模块化生活质量评估系统在基线、治疗后评估和 6 个月随访时评估 QoL。
结果
两种治疗方法在大多数 QoL 维度上均显著改善 QoL。在随访时，CBT 对一般 QoL 的组内效应大小为 0.25，PE 为 0.29。在治疗后和 6 个月随访时，CBT 和 PE 之间没有发现显著差异。
结论
短期团体认知行为疗法和团体心理教育均可改善精神分裂症患者的主观 QoL。
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