基于心理教育的团体模式工作在双相情感障碍缓解期患者持续治疗中的应用
Application of Psychoeducation-Based Model Group Work in Continuous Treatment of Patients With Bipolar Disorder in Remission.
作者信息
Shi Xuemin, Jia Suilin, Yang Lingkai, Yin Zhipeng, Yin Bowen, Chen Guangdong
机构信息
Department of Behavior Medicine of Wenzhou Seventh People's Hospital, 325000 Wenzhou, Zhejiang, China.
Department of Children Psychiatry of Wenzhou Seventh People's Hospital, 325000 Wenzhou, Zhejiang, China.
出版信息
Alpha Psychiatry. 2025 Jun 18;26(3):43989. doi: 10.31083/AP43989. eCollection 2025 Jun.
OBJECTIVE
To explore the value of psychoeducation-based group work in the continuous treatment of patients with bipolar disorder in remission.
METHODS
From December 2020 to March 2022, 60 outpatients with remission-stage bipolar disorder were enrolled in the trial. All enrolled subjects were randomly and single-blindly divided into a study group and a control group at a 1:1 ratio. The control group was treated with general drug therapy, while the study group was treated with group psychological education combined with drug therapy. To analyze the treatment adherence of patients in the two groups, and to compare the changes in self-awareness and attitude toward treatment questionnaire (ITAQ) scale scores, Morisky medication adherence scale scores, Self-rating Depression Scale (SDS) total scores, and subscale scores before and after the intervention in the two groups.
RESULTS
The mean score for treatment compliance in the study group was 4.2 ± 0.3, which was significantly higher than that in the control group (4.2 ± 0.3 . 3.2 ± 0.5, < 0.001). The ITAQ score in the study group following the intervention was significantly higher than that in the control group (18.5 ± 3.2 . 12.7 ± 2.7, < 0.001), as well as the study group prior to the intervention ( < 0.001). Morisky scale scores after intervention were significantly higher than those in the control group (6.9 ± 1.0 . 5.5 ± 0.8, < 0.001) and the study group before intervention ( < 0.001). Sheehan Disability Scale 1 (SDS1), SDS2, SDS3, and SDS scores after intervention were 8.5 ± 1.2, 8.0 ± 1.5, 7.9 ± 2.0, and 25.5 ± 4.3, respectively, all of which were significantly higher than those in the control group (all < 0.001). The proportion of positive coping style for bipolar disorder in the study group was significantly higher than that in the control group (93.3% . 50.0%, = 0.001).
CONCLUSION
Continuous intervention using psychoeducation-based model group work in patients with bipolar disorder in the remission stage can significantly improve treatment compliance, improve insight and treatment attitudes, ensure compliance with drug therapy, and reduce the degree of mental disability.
目的
探讨基于心理教育的团体工作在双相情感障碍缓解期患者持续治疗中的价值。
方法
选取2020年12月至2022年3月期间60例双相情感障碍缓解期门诊患者纳入试验。所有纳入对象按1:1比例随机单盲分为研究组和对照组。对照组采用常规药物治疗，研究组采用团体心理教育联合药物治疗。分析两组患者的治疗依从性，比较两组干预前后自知力与治疗态度问卷（ITAQ）量表评分、Morisky药物依从性量表评分、自评抑郁量表（SDS）总分及各因子分的变化。
结果
研究组治疗依从性平均得分为4.2±0.3，显著高于对照组（4.2±0.3对3.2±0.5，P<0.001）。干预后研究组ITAQ评分显著高于对照组（18.5±3.2对12.7±2.7，P<0.001），也高于干预前研究组（P<0.001）。干预后Morisky量表评分显著高于对照组（6.9±1.0对5.5±0.8，P<0.001）和干预前研究组（P<0.001）。干预后Sheehan残疾量表1（SDS1）、SDS2、SDS3及SDS评分分别为8.5±1.2、8.0±1.5、7.9±2.0及25.5±4.3，均显著高于对照组（均P<0.001）。研究组双相情感障碍积极应对方式比例显著高于对照组（93.3%对50.0%，P=0.001）。
结论
对双相情感障碍缓解期患者采用基于心理教育的团体工作进行持续干预，可显著提高治疗依从性，改善自知力和治疗态度，确保药物治疗的依从性，降低精神残疾程度。
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