艺术疗法和社会心理技能培训对精神分裂症患者及其亲属的症状和社会功能的影响》(The Effects of Art Therapy and Psychosocial Skills Training on Symptoms and Social Functioning in Patients with Schizophrenia and Their Relatives)。

Aslı Sarandöl, Rümeysa Ayşe Güllülü, İlknur Kiraz Avci, Eralp Türk, Salih Saygın Eker
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引用次数: 0

摘要

目的:抗精神病药物对阴性症状的疗效有限。治疗精神分裂症最合适的方法是将药物治疗与心理和社会干预相结合。本研究旨在评估和比较艺术疗法和社会心理技能训练(PSST)在精神分裂症治疗中的效果:研究共纳入了 15 名根据 DSM-5 诊断标准确诊的精神分裂症患者和 12 名患者亲属。这些患者被随机分为两组,其中7人被纳入艺术治疗项目,8人被纳入PSST精神分裂症治疗项目。艺术疗法和 PSST 每周一次,每次 90 分钟,共持续 17 周。精神分裂症患者接受了阳性和阴性综合征量表(PANSS)、社会功能量表(SFS)和卡尔加里精神分裂症抑郁量表的评估,其亲属接受了贝克抑郁量表、贝克焦虑量表和扎里特负担访谈:两组患者的 PANSS 阴性症状、PANSS 一般精神病理学、SFS 亲社会活动和 SFS 娱乐得分均有明显下降,而 SFS 社交退缩得分仅在艺术治疗组有明显下降。在 PANSS 负面症状分量表中,艺术治疗组的被动社交退缩、抽象思维困难、谈话缺乏自发性和流畅性以及刻板思维得分明显降低。在 PSST 组中,只有抽象思维困难的得分明显下降:本研究结果表明,艺术疗法和 PSST 对改善精神分裂症患者的阴性症状以及社交和认知功能有积极作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effects of Art Therapy and Psychosocial Skills Training on Symptoms and Social Functioning in Patients with Schizophrenia and Their Relatives.

Objective: The effects of antipsychotics on negative symptoms are limited. The most appropriate approach in the treatment of schizophrenia is the integration of drug therapy with psychological and social interventions. The purpose of this study was to evaluate and compare the effects of art therapy and psychosocial skills training (PSST) in the treatment of schizophrenia.

Methods: A total of 15 patients diagnosed with schizophrenia according to the criteria in DSM-5 and 12 patient relatives were included in the study. The patients were randomly divided into 2 groups, 7 were included in the art therapy program and 8 were included in the PSST program for schizophrenia. 90-minute sessions of art therapy and PSST were carried out once a week for 17 weeks. Participants with schizophrenia were evaluated with the Positive and Negative Syndrome Scale (PANSS), Social Functioning Scale (SFS) and the Calgary Depression Scale for Schizophrenia and the relatives were given Beck Depression Inventory, Beck Anxiety Inventory and Zarit Burden Interview.

Results: There was a significant decrease in the PANSS negative symptoms, PANSS general psychopathology, SFS pro-social activities and SFS recreation scores in both groups, while the SFS social withdrawal scores decreased significantly only in the art therapy group. In the PANSS negative symptoms subscale, passive social withdrawal, difficulty in abstract thinking, lack of spontaneity and flow of conversation and stereotyped thinking scores were significantly lower in the art therapy group. In the PSST group only the score for difficulty in abstract thinking declined significantly.

Conclusion: The findings of the present study suggest that art therapy and PSST have positive effects on the improvement of negative symptoms as well as improvements in social and cognitive functionality in schizophrenia.

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