摘要目的 探讨团体社交技能训练对精神分裂症患者精神症状、精神残疾和家庭关系的影响.方法 选择2011年6月至2012年8月某三级甲等综合医院心理卫生中心门诊随访及社区随访的精神分裂症康复期患者101例,按照随机原则分为干预组56例,对照组45例.干预组采取团体社交技能训练,对照组采用兴趣小组的方式进行康复指导.比较2组精神症状、精神残疾和家庭关系改善情况.结果 第6个月末,干预组精神症状阳性和阴性症状、精神残疾总分显著低于对照组,且不同测量时间的效应差异有统计学意义,干预措施与时间之间存在交互作用;干预组患者的家庭关怀总分显著高于对照组,且不同测量时间的效应差异有统计学意义,干预措施与时间之间无交互作用.结论 团体社交技能训练有助于改善精神分裂症患者的精神症状和家庭关系,降低患者的精神残疾,促进患者康复.

abstractsObjective To discuss the effect of group social skills training on improving psychiatric symptoms and disability and the family relationship in patients with schizophrenia.Methods 101 followup patients of rehabilitation with schizophrenia in mental health center of a top three hospital and in a community were chosen from June 2011 to August 2012.Based on the principle of voluntary,45 and 56 patients were grouped into the control group and the intervention group,respectively.The scores of psychiatric symptoms,mental disability and family relationship were compared between two groups by independent sample test.Results At the end of six months,the score of positive and negative symptoms and mental disability were lower in the intervention group,and there was significant difference in different measuring time,the interaction existed between the intervention and the measuring time.Meanwhile,the total score of family concern in the intervention group was higher than that in the control group,and there was significant difference in different measuring time,no interaction existed between the intervention and the measuring time.Conclusions Group training of social skills could improve psychiatric symptoms and the family relationship of patients with schizophrenia,reduce mental disability and promote recovery of patients.