利伯曼社区回归计划对减轻精神分裂症患者阳性和阴性症状及提高社交技能的影响。

Maryam Emami, Gholamreza Kheirabadi, Mona Fallahi
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引用次数: 0

摘要

背景:本研究的目的是探讨利伯曼社区回归计划对减少精神分裂症患者阳性和阴性症状及提高社交技能的影响。材料与方法:将58例精神分裂症患者随机分为两组,每组29例。第一组接受16次Lieberman社区回归训练,第二组接受常规护理作为对照组。在干预前和干预后1、3个月分别采用Matson社交技能问卷和阴性、阳性症状评定量表对患者进行评估,并对两组患者进行比较。结果:阴性症状评估显示,干预组情感扁平化、自发性、快感缺失-社会性、注意力、痛症等维度随时间的推移显著降低(P < 0.05),对照组无显著差异。干预组患者的幻觉、妄想、不恰当情感、形式思维障碍等阳性症状平均得分均显著降低(P < 0.05),对照组差异无统计学意义。干预组的适当社交技能和总技能得分随时间的推移显著提高(P < 0.05)。结论:利伯曼社区回归项目有可能减轻精神分裂症患者的症状,提高患者的社交技能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Effect of Lieberman Community Return Program on Reducing Positive and Negative Symptoms and Improving Social Skills in Patients with Schizophrenia.

The Effect of Lieberman Community Return Program on Reducing Positive and Negative Symptoms and Improving Social Skills in Patients with Schizophrenia.

Background: The aim of this study was to investigate the effect of Lieberman community return program on reducing positive and negative symptoms and improving social skills in people with schizophrenia.

Materials and methods: In this clinical trial study, 58 patients with schizophrenia were randomly allocated into two groups of 29. The first group received 16 sessions of Lieberman community return training and the second group received routine care as a control group. All patients were evaluated before intervention and 1 and 3 months after intervention using the Matson Social Skills Questionnaire and Negative and Positive Symptoms Assessment Scale and compared between the two groups.

Results: Evaluation of negative symptoms showed that the dimensions of affective flattening, avolition, anhedonia-asociality, attention, and alogia in the intervention group decreased significantly over time (P < 0.05), but no significant difference was seen in the control group. The mean score of positive symptoms such as hallucinations, delusion, inappropriate affect, and formal thinking disorder in the intervention group were decreased significantly (P < 0.05), but no significant difference was seen in the control group. Appropriate social skills and overall skill score were increased significantly in the intervention group over time (P < 0.05).

Conclusion: Lieberman community return program is likely to reduce the symptoms of schizophrenia and increase patients' social skills.

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