Hu Jing, Geng Bojing, Song Yu, Zhang Xujing, Zhou Mengdi, Zhang Ping, Song Hongjing, Li Keqing, Zhang Xin
Department of Paediatric Psychiatry I, Mental Health Center of Hebei Province, Baoding, Hebei, China.
Department of Pediatric Psychiatry II, Mental Health Center of Hebei Province, Baoding, Hebei, China.
Alpha Psychiatry. 2024 Jun 1;25(3):407-412. doi: 10.5152/alphapsychiatry.2024.241524. eCollection 2024 Jun.
To study the clinical effect of group cognitive behavioral therapy to one-on-one treatment on patients with early-onset schizophrenia.
Totally,133 patients with early-onset schizophrenia admitted to the Department of Psychiatry of our hospital from September 2020 to September 2023 were selected and divided into a control group and an observation group according to whether group behavioral cognitive therapy was performed. The general demographic data of the patients were collected, and the propensity score matching method was used to balance the baseline data of the 2 groups. The Positive and negative syndrome scale, Personal and Social Performance Scale, severity of illness (SI), and efficacy index (EI) were compared between the 2 groups after matching.
After matching, 72 patients were included in our study. Compared to the control group, observation group PANSS score were decreased including after intervention ( > .05). Both groups showed a decrease between before and after treatments. Positive and Negative Syndrome Scale reduction rate after treatment and total response rate were increased in the observation group ( <.001). Personal and Social Performance Scale of the Clinical Global Impression (CGI) scores were higher than those of the control group. In the CGI scores, there is a significant difference that SI scores were lower in the observation group ( = .002), while EI scores were higher ( <.001).
Group cognitive behavioral therapy is beneficial to the improvement of mental symptoms and disease severity, social function, and curative effect, which is advocated and popularized.
研究团体认知行为疗法与一对一治疗对早发性精神分裂症患者的临床效果。
选取2020年9月至2023年9月我院精神科收治的133例早发性精神分裂症患者,根据是否进行团体行为认知疗法分为对照组和观察组。收集患者的一般人口学资料,采用倾向得分匹配法平衡两组的基线数据。匹配后比较两组的阳性与阴性症状量表、个人和社会功能量表、疾病严重程度(SI)及疗效指数(EI)。
匹配后,纳入研究72例患者。与对照组相比,观察组阳性与阴性症状量表评分在干预后降低(>.05)。两组治疗前后均有下降。观察组治疗后阳性与阴性症状量表减分率及总有效率升高(<.001)。观察组临床总体印象(CGI)个人和社会功能量表评分高于对照组。在CGI评分中,观察组SI评分较低(= .002),差异有统计学意义,而EI评分较高(<.001)。
团体认知行为疗法有利于改善精神症状、疾病严重程度、社会功能及疗效,值得提倡和推广。