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精神分裂症中社交技能训练对缺陷型和非缺陷型阴性症状疗效的比较。

Comparison of efficacy of social skills training for deficit and nondeficit negative symptoms in schizophrenia.

作者信息

Kopelowicz A, Liberman R P, Mintz J, Zarate R

机构信息

University of California, Los Angeles, School of Medicine, USA.

出版信息

Am J Psychiatry. 1997 Mar;154(3):424-5. doi: 10.1176/ajp.154.3.424.

Abstract

OBJECTIVE

The purpose of this pilot study was to compare the efficacy of social skills training for individuals with schizophrenia who did or did not have the deficit syndrome.

METHOD

Three subjects with the deficit syndrome and three with nondeficit negative symptoms received 12 weeks of social skills training. Social skills and negative symptoms were evaluated before and after training and at 6-month follow-up.

RESULTS

Patients with schizophrenia who did not have the deficit syndrome demonstrated significantly better social skills and lower negative symptoms both after training and at follow-up than did those who had the deficit syndrome.

CONCLUSIONS

Schizophrenic patients with nondeficit negative symptoms appear amenable to intensive social skills training, but schizophrenic patients with the deficit syndrome may have significant deficits in skill acquisition.

摘要

目的

本试点研究的目的是比较社交技能训练对有或没有缺陷综合征的精神分裂症患者的疗效。

方法

三名有缺陷综合征的受试者和三名有非缺陷阴性症状的受试者接受了为期12周的社交技能训练。在训练前后以及6个月的随访中对社交技能和阴性症状进行评估。

结果

没有缺陷综合征的精神分裂症患者在训练后和随访时的社交技能明显优于有缺陷综合征的患者,阴性症状也更低。

结论

有非缺陷阴性症状的精神分裂症患者似乎适合强化社交技能训练,但有缺陷综合征的精神分裂症患者在技能习得方面可能存在显著缺陷。

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