Effects of Naikan cognitive therapy on improving clinical symptoms in patients with convalescent schizophrenia
10.3760/cma.j.issn.1674-6554.2011.06.019
- VernacularTitle:内观认知疗法治疗精神分裂症康复期患者的临床疗效
- Author:
Tong CAO
;
Fuqiang MAO
;
Hongjun TIAN
;
Tianhong ZHOU
;
Ling SUN
;
Xiujuan FENG
;
Ruihua LIANG
;
Zhentao LI
- Publication Type:Journal Article
- Keywords:
Naikan cognitive therapy;
Rehabilitation;
Schizophrenia;
Clinical symptom
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2011;20(6):538-540
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore effects of Naikan cognitive therapy on improving clinical symptoms in patients with convalescent schizophrenia. Methods The 69 convalescent schizophrenic patients with convalescent clinical state were consecutively recruited. All the patients were divided into Naikan cognitive therapy ( NCT) group an control group at random and were pretreated with antipsychotic agent therapy. In NCT group,the patients received NCT for successive 7 days. In control group,the patients only received antipsychotic agent therapy. Pre-and post-treatment positive and negative syndrome scale( PANSS) , Nurses'observation scale for inpatient evaluation (NOSIE) were administered to all subjects. Results ① A significant decrease occurred in PANSS total score, negative symptom score, positive symptom score, compound scale score, general psychopathology score, reaction retardation score and paranoid score in NCT group ( t = 2. 672～7. 370, P < 0. 05). In the post-treatment, PANSS total score, negative symptom score, positive symptom score, compound scale score, reaction retardation score and thought disorder score were significantly lower in NCT group than those in control group ( t ' = 2. 696, P = 0. 009; t = 5. 186, P=0.000; t = 3.757, P = 0.001; t = 2.634,P = 0.011; t ' =2.376, P = 0.021). ②A significant decrease occurred in NOSIE total negative score( 10.43 ± 9. 24 vs 13. 87 ± 8. 03, t = 3. 463 , P = 0. 002) , irritation score(3. 13 ±0.43 vs8.53 ±4.98, t = 6. 139, P=0.000) and retardation score(1.07 ± 1.64 vs 2. 20 ±2.85, t = 2.067, P = 0.048) in NCT group. Conclusion NCT can possibly improve part clinical symptoms of patients with convalescent schizophrenia to a certain extent,especially negative symptom,but need to further prove the effect of NaiKan cognitive therapy.
