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园艺疗法对精神分裂症患者心理病理影响的评估。

Assessment of the psychopathological effects of a horticultural therapy program in patients with schizophrenia.

机构信息

Department of Horticultural Therapy, Graduate School of Agriculture and Animal Science, Konkuk University, Seoul 05029, South Korea.

Department of Horticultural Therapy, Graduate School of Agriculture and Animal Science, Konkuk University, Seoul 05029, South Korea; Department of Environmental Health Science, Sanghuh College of Life Science, Konkuk University, Seoul 05029, South Korea.

出版信息

Complement Ther Med. 2018 Feb;36:54-58. doi: 10.1016/j.ctim.2017.11.019. Epub 2017 Nov 29.

DOI:10.1016/j.ctim.2017.11.019
PMID:29458931
Abstract

OBJECTIVES

This study assessed the psychopathological effects of participation in a 10-session horticultural therapy program in patients with schizophrenia.

DESIGN

The study design was pre and post test design of experimental and control groups.

SETTING

Twenty-eight Korean patients with schizophrenia, recruited from a mental health clinic and two mental health rehabilitation centers in Suwon, South Korea, were voluntarily assigned to either a control group (average age: 33.4±9.4years) or a horticultural therapy group (average age: 42.1±13.0years).

INTERVENTIONS

The participants in the horticultural therapy group participated in a 10-session horticultural therapy program designed around various plant cultivating activities. The horticultural therapy program involved sessions once a week from April 2017 to June 2017.

MAIN OUTCOME MEASURES

A psychiatrist evaluated the psychopathological symptoms of schizophrenic patients in both groups. To assess the clinical psychopathological effects, the Korean version of the Positive and Negative Syndrome Scale (PANSS) and Brief Psychiatric Rating Scale (BPRS) were used.

RESULTS

The horticultural therapy group significantly improved in terms of positive, negative, and general symptoms on the PANSS after the 10-session horticultural therapy program. Moreover, the horticultural therapy group significantly improved in terms of clinical symptoms of schizophrenia in BPRS after the 10-session horticultural therapy program. However, there was no change in the PANSS and BPRS scores in the control group.

CONCLUSIONS

This study showed the potential of horticultural therapy in improving psychopathological symptoms in psychiatric patients. Future studies should investigate the effects of long-term horticultural therapy program on the chronic symptoms of patients with schizophrenia.

摘要

目的

本研究评估了参与十节园艺治疗计划对精神分裂症患者的心理病理影响。

设计

研究设计为实验组和对照组的前后测试设计。

地点

韩国水原市的一家心理健康诊所和两家心理健康康复中心招募了 28 名韩国精神分裂症患者,他们自愿分为对照组(平均年龄:33.4±9.4 岁)或园艺治疗组(平均年龄:42.1±13.0 岁)。

干预措施

园艺治疗组的参与者参加了一个围绕各种植物栽培活动设计的十节园艺治疗计划。园艺治疗计划从 2017 年 4 月至 6 月每周一次。

主要观察指标

精神病医生评估两组精神分裂症患者的心理病理症状。为了评估临床心理病理效应,使用了韩国版阳性和阴性综合征量表(PANSS)和简明精神病评定量表(BPRS)。

结果

园艺治疗组在十节园艺治疗计划后,在 PANSS 的阳性、阴性和一般症状方面显著改善。此外,园艺治疗组在 BPRS 的精神分裂症临床症状方面也显著改善。然而,对照组的 PANSS 和 BPRS 评分没有变化。

结论

本研究表明园艺治疗在改善精神科患者的心理病理症状方面具有潜力。未来的研究应调查长期园艺治疗计划对精神分裂症患者慢性症状的影响。

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