| Purpose:Observation mindfulness-based cognitive therapy(Mindfulness--based cognitive therapy.The MBCT)application effect in mental illness,as to provide theoretical basis for clinical practice.Methods:According to random number table method patients were randomly divided into mindfulness-based cognitive therapy group and control group in two groups.Control group patients with the implementation of drug treatment,and to give the same time the work of entertainment.Mindfulness-based cognitive therapy group of patients with the implementation of drug therapy combined with mindfulness-based cognitive therapy,the patient after the basic data of observation and analysis,to Sassanian cognitive therapy in the treatment of patients with a total of 28 days,maintain in the treatment of 3 hours per day,and the patients were followed up for 12 weeks,ensure daily on a 20 minutes in front of the answer.Comparison of two groups of patients with general information difference is statistically significant before treatment,before and after treatment in patients with two groups of PANSS scale,BPRS scale,Chrysler intelligence test results,SCL-90 scale before and after the treatment,WSCT test results and NOSIE before and after the treatment scale score situation were analyzed.Results:1.Basic data comparison of two groups of patients,mindfulness-based cognitive therapy group,83 patients with a male,female patients 67 cases,aged 17 to 43 years old,average age(36.1 + 2.5),the average duration of 8.1 years,for the first time treatment of age was(27.4 ?1.5),for the first time in the hospital age was(28.6 + 1.3),the dose of mg(356.7 105.9 mm),control group 79 patients with a male,female patients 71 cases,aged between 16 and 44,the average age of the control group patients was(36.5 + 2.2)years of age,and the average duration of 8.3 years,for the first time treatment of age was(27.1 +1.7),for the first time in the hospital age was(28.7 + 1.9),the dose of mg(361.2 102.8 mm),mindfulness-based cognitive therapy group and control group no statistically significant difference(P>0.05).2.From the analysis of PANSS scale in negative patients(emotional insipid or slow,poverty of thought,lack of interest,etc.)and positive(hallucination,delusion,strange behavior,etc.)and general mental disorders of these different projects,mindfulness-based cognitive therapy group of patients and the control group of patients before treatment difference is smaller,at this time the contrast between the two groups have no statistical significance(P>0.05),but the two groups of patients after treatment and follow-up of 12 weeks after the score difference statistically significant(P<0.05).In addition,compared with before treatment,patients with mindfulness-based cognitive therapy group after treatment and follow-up of 12 weeks after the score with a statistical significance(P<0.05).3.By comparison with patients with BPRS rating scale,understand the spirit of the past week in patients with symptoms and live chat,control group patients before treatment score averaged 52.2 points,while the average score of 52.1 points,after treatment were followed up for 12 weeks after the BPRS score averaged 52.2 points,and mindfulness-based cognitive therapy in patients with BPRS display table assessment score averaged 53.4 points,before treatment and after treatment of the average score of 48.6 points,after a follow-up of 12 weeks of BPRS score averaged 45.2 points,the comparative analysis of mindfulness-based cognitive therapy group of patients and the control group patients before treatment and after treatment of BPRS rating scale has no obvious difference,no statistically significant difference(P>0.05),but patients at follow-up after 12 weeks of BPRS rating scale differences statistically significant(P<0.05).In addition,in the follow-up of 12 weeks after the comparison between groups with statistical significance(P<0.05).4.By means of two groups of patients before and after treatment of Chrysler intelligence test results contrast,can be found in patients with intelligence and the change of the language expression ability,in arithmetic,similar,patchwork,vocabulary,and to arrange different projects,such as mindfulness-based cognitive therapy group score before treatment patients and the control group patients were similar,no statistically significant difference(P>0,05).Compared with before treatment,the two groups after treatment and follow-up of 12 weeks after the score were statistically significant(P<0.05).5.Analysis of the evaluation results of the self-assessment lists of symptom,in patients with schizophrenia depression,anxiety,and many other symptoms rating project,mindfulness-based cognitive therapy group of patients and the control group patients before treatment accordingly score difference is not statistically significant(P>0.05),two groups of patients after treatment and follow-up of 12 weeks after the score difference statistically significant(P<0.05).In addition,in interpersonal sensitivity,depression,dramatization,psychokinetic and anxiety,compared with before treatment,mindfulness-based cognitive therapy group of patients after treatment and follow-up of 12 weeks after the score difference statistically significant(P<0.05).6.Through the Wisconsin card sorting test results contrast analysis of the patient's ability to execute,mindfulness-based cognitive therapy group score before treatment patients and the control group patients were similar,no statistically significant difference(P>0.05),treatment and follow-up of 12 weeks after scoring differences were statistically significant(P<0.05).In addition,compared with before treatment,mindfulness-based cognitive therapy group after treatment and follow-up of 12 weeks after the score difference statistically significant(P<0.05).7.NOSIE scale analysis of the two groups of patients before and after treatment,compared the frequency of symptoms in patients with schizophrenia,between two groups of patients before treatment there was no statistically significant difference(P>0.05),but in the positive factors,social function,slow,anger,and depression scores of two groups after treatment and follow-up of 12 weeks after scoring,differences between groups with statistical significance(P<0.05).In addition,the positive factors,social function,slow,anger and depression score,compared with before treatment,mindfulness-based cognitive therapy group after treatment and follow-up of 12 weeks after the score difference statistically significant(P<0.05).Conclusion:Mindfulness-based cognitive therapy for patients with schizophrenia disease,its treatment effect is very obvious,not only improve the patient's social function and execution ability,improve the patient's intelligence and language power of expression,also can alleviate symptoms in patients with schizophrenia,the true rehabilitation of patients with great help. |
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