Yan Jun, Li Kunjie, He Qiang, Xiong Jie
Department of Psychiatry, The Second People's Hospital of Guizhou Province, GuiyangGuizhou, China.
Acta Neuropsychiatr. 2025 Mar 27;37:e57. doi: 10.1017/neu.2025.14.
This study focused on the effect of the cognitive behavioural therapy (CBT) combined with aripiprazole on cognitive functions and psychological state of schizophrenia patients. Seventy-eight schizophrenia patients were divided into two groups. One group received aripiprazole with conventional nursing treatment for 3 months (control group, = 39), and the other received aripiprazole with CBT for 3 months (observation group, = 39) (1 session per week, each session lasting 60 min. In the two groups before and after treatment, the severity of symptoms was evaluated using the Psychiatric Symptom Rating Scale (BPRS). Cognitive function was assessed with the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). The Positive and Negative Symptom Scale (PANSS) was utilised to evaluate mental status, while the Generalised Self-Efficacy Scale (GSES) measured psychological state. Additionally, the quality of life was assessed using the General Quality of Life Inventory-74 (GQOLI-74). In the final analysis, post-treatment efficacy and complications for the two groups were counted. Both groups showed significant improvements: BPRS and PANSS scores decreased, while RBANS, GSES, and GQOLI-74 scores increased. The observation group showed greater improvements than the control group. The total improvement rate was 89.74% (35/39) in the observation group, higher than the 71.79% (28/39) in the control group. The complication rate was 33.33% (13/39) in the observation group and 38.46% (15/39) in the control group. The treatment of CBT combined with aripiprazole for schizophrenia has a significantly positive effect on the cognitive functions and psychological state of patients.
本研究聚焦于认知行为疗法(CBT)联合阿立哌唑对精神分裂症患者认知功能及心理状态的影响。78例精神分裂症患者被分为两组。一组接受阿立哌唑联合常规护理治疗3个月(对照组,n = 39),另一组接受阿立哌唑联合CBT治疗3个月(观察组,n = 39)(每周1次,每次持续60分钟)。治疗前后,两组均使用精神症状评定量表(BPRS)评估症状严重程度,用可重复性神经心理状态评估量表(RBANS)评估认知功能,采用阳性与阴性症状量表(PANSS)评估精神状态,同时用一般自我效能感量表(GSES)测量心理状态。此外,使用生活质量综合评定问卷-74(GQOLI-74)评估生活质量。最后分析两组的治疗后疗效及并发症情况。两组均有显著改善:BPRS和PANSS评分降低,而RBANS、GSES和GQOLI-74评分升高。观察组的改善程度大于对照组。观察组的总改善率为89.74%(35/39),高于对照组的71.79%(28/39)。观察组的并发症发生率为33.33%(13/39),对照组为38.46%(15/39)。CBT联合阿立哌唑治疗精神分裂症对患者的认知功能和心理状态有显著积极影响。