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一项针对精神分裂症患者耐药性残留精神病症状的两种认知行为治疗方法的试验。II. 应对和解决问题技能的特定治疗变化。

A trial of two cognitive behavioural methods of treating drug-resistant residual psychotic symptoms in schizophrenic patients. II. Treatment-specific changes in coping and problem-solving skills.

作者信息

Tarrier N, Sharpe L, Beckett R, Harwood S, Baker A, Yusopoff L

机构信息

Department of Clinical Psychology, School of Psychiatry and Behavioural Sciences, University Hospital of South Manchester, Withington, UK.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 1993 Feb;28(1):5-10. doi: 10.1007/BF00797826.

DOI:10.1007/BF00797826
PMID:8096654
Abstract

Changes in coping skills and problem-solving skills were examined in two groups of schizophrenic patients. The groups received either coping skills enhancement or problem-solving treatments to reduce their drug-resistant residual psychotic symptoms. The coping skills group showed significant increases both in the number of positive coping strategies used and in their efficacy, whereas the problem-solving group showed a decrease in these measures during treatment. Both groups showed significant improvements in problem-solving skills. Changes in coping but not problem solving were significantly related to decreases in psychotic symptoms during treatment. It was concluded that treatment involving the teaching of coping skills had a specific treatment effect.

摘要

在两组精神分裂症患者中研究了应对技能和解决问题技能的变化。这些组分别接受了应对技能增强或解决问题的治疗,以减轻其耐药性残留精神病症状。应对技能组在使用的积极应对策略数量及其有效性方面均有显著增加,而解决问题组在治疗期间这些指标有所下降。两组在解决问题技能方面均有显著改善。治疗期间,应对技能的变化而非解决问题技能的变化与精神病症状的减轻显著相关。得出的结论是,涉及应对技能教学的治疗具有特定的治疗效果。

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