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IF 5.3 1区医学 Q1 PSYCHIATRY

Schizophrenia Bulletin Pub Date : 2025-02-18 DOI:10.1093/schbul/sbaf007.105

Momo Feng, Ying Bai*

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引用次数: 0

摘要

背景精神分裂症是一种慢性精神障碍，以认知障碍、情绪失调和社会认知缺陷为特征，严重影响患者的生活质量。非药物疗法，尤其是艺术疗法，因其创造性和心理干预作用而备受关注。水墨画疗法是中国文化的一部分，通过在绘画中表达和调节情绪，可对患者的情绪控制和社会认知产生积极影响。有关其治疗效果的研究较少，本研究旨在探讨其对精神分裂症患者情绪稳定性和社会认知的影响，为临床治疗提供新的方法。方法研究纳入了 120 名符合精神分裂症诊断标准的患者，随机分为实验组（60 人）和对照组（60 人）。实验组接受为期 12 周、每次 90 分钟的治疗；对照组继续接受常规治疗。水墨画艺术疗法包括教授基本绘画技巧、自由主题绘画和小组讨论。干预效果通过情绪稳定量表（Emotional Stability Scale, ESS）评估，社会认知问卷（Social Cognition Questionnaire, SCQ）测量，事件相关电位（Event-Related Potentials, ERP）分析与情绪处理和社会认知相关的P300成分变化。数据分析采用 SPSS 26.0 软件。结果实验组与对照组在干预前后情绪和社会认知指标的变化如表 1 所示。如表 1 所示，实验组的 ESS、SCQ 和 P300 波幅均有显著改善。干预后，实验组的振幅分别从 48.5±6.2 增加到 67.3±5.8，58.9±7.1 增加到 74.6±6.3，8.3±1.2 增加到 10.6±1.1。对照组无明显变化，分别为 49.2±6.4 至 52.1±6.5、59.3±7.5 至 61.2±7.0、8.2±1.3 至 8.4±1.3。组间差异和时间效应显著（P<0.001），表明干预对情绪稳定性、社会认知和 P300 振幅有显著的积极影响。讨论结果表明，水墨画艺术疗法能显著改善精神分裂症患者的情绪稳定性和社会认知能力，其作用机制可能与增强 P300 波幅有关。这表明水墨画艺术疗法可通过改善患者的注意力分配和情绪处理能力，间接提高其社会认知功能。未来的研究应进一步探讨其干预机制和最佳实施策略，同时考虑不同文化背景对干预效果的影响。

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105 THE EFFECT OF INK PAINTING ART THERAPY ON EMOTIONAL AND SOCIAL COGNITION INTERVENTION IN PATIENTS WITH SCHIZOPHRENIA

Background Schizophrenia is a chronic mental disorder characterized by cognitive impairments, emotional dysregulation, and social cognition deficits, severely affecting patients’ quality of life. Non-pharmacological therapies, especially art therapy, have gained attention for their creativity and psychological intervention. Ink painting therapy, part of Chinese culture, may positively impact emotional control and social cognition in patients through the expression and regulation of emotions in painting. Research on its therapeutic effects is scarce; this study aims to explore its impact on schizophrenia patients’ emotional stability and social cognition, offering new clinical treatment approaches. Methods The study included 120 patients meeting the diagnostic criteria for schizophrenia and were randomly divided into the experimental group (n=60) and the control group (n=60). The experimental group received 12 weeks for 90 minutes; the control group was maintained with conventional treatment. Ink painting art therapy includes the teaching of basic painting skills, free subject painting, and group discussion. Intervention effects were assessed by emotional stability on the Emotional Stability Scale (Emotional Stability Scale, ESS), social cognition measured by the Social cognitive Questionnaire (Social Cognition Questionnaire, SCQ), and P300 component changes related to emotional processing and social cognition were analyzed by event-related potentials (Event-Related Potentials, ERP). Data analysis used SPSS 26.0 software. Results The changes in emotional and social cognitive indicators between the experimental group and the control group before and after the intervention are shown in Table 1. As shown in Table 1, the experimental group showed significant improvements in ESS, SCQ, and P300 amplitudes. After intervention, the amplitudes increased from 48.5±6.2 to 67.3±5.8, 58.9±7.1 to 74.6±6.3, and 8.3±1.2 to 10.6±1.1, respectively. The control group showed no significant changes, ranging from 49.2±6.4 to 52.1± 6.5, 59.3±7.5 to 61.2±7.0, and 8.2±1.3 to 8.4±1.3, respectively. The inter group differences and time effects were significant (P<0.001), indicating that the intervention had a significant positive effect on emotional stability, social cognition, and P300 amplitude. Discussion The results indicate that ink painting art therapy can significantly improve the emotional stability and social cognitive ability of patients with schizophrenia, and its mechanism of action may be related to enhancing P300 amplitude. This suggests that ink painting art therapy may indirectly enhance patients’ social cognitive function by improving their attention allocation and emotional processing abilities. Future research should further explore its intervention mechanisms and optimal implementation strategies, while considering the impact of different cultural backgrounds on intervention effectiveness.

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来源期刊

Schizophrenia Bulletin 医学-精神病学

CiteScore

11.40

自引率

6.10%

发文量

163

审稿时长

4-8 weeks

期刊介绍： Schizophrenia Bulletin seeks to review recent developments and empirically based hypotheses regarding the etiology and treatment of schizophrenia. We view the field as broad and deep, and will publish new knowledge ranging from the molecular basis to social and cultural factors. We will give new emphasis to translational reports which simultaneously highlight basic neurobiological mechanisms and clinical manifestations. Some of the Bulletin content is invited as special features or manuscripts organized as a theme by special guest editors. Most pages of the Bulletin are devoted to unsolicited manuscripts of high quality that report original data or where we can provide a special venue for a major study or workshop report. Supplement issues are sometimes provided for manuscripts reporting from a recent conference.