| Objective:Schizophrenia is a common etiology has not been fully elucidated theserious mental disease, multiple onset in young adults, with chronic persistent,recurrent features, social function of patients with serious damage. This paper discusses the intervention study of dispersed Naikan cognitive therapy in patients with the social function of convalescent schizophrenia paranoid spirit, to provide a theoretical basis for the psychological treatment of schizophrenia patients in rehabilitation period.Methods:During the period of June to December of2009will meet the inclusion criteria and exclusion criteria100patients as the research object. The object of study are in line with international classification of diseases, Tenth Edition (ICD-10) diagnostic criteria of schizophrenia. Drug treatment to clinical effective standard:the decrease rate of PANSS total scored≥50%or PANSS scored≤60; age16-40years old, junior high school degree or above; voluntarily participated in the study, with the consent of the guardian agreed and signed informed consent; therapy has not adjustedpplication of random number table, the patients were randomly divided into study group and control group. Research group in the original basis of taking drugs for4consecutive weeks, mindfulness-based cognitive therapy for3hours every day. The control group on the basis of the original drug treatment on and research group of the same time and space,4weeks of observation. At baseline and4weeks of each group were The Schizophrenia Quality of Life Scale, The assessment of insight in clinical psychiatry, self-esteem scale, Family Adaptability and Cohesion Scale, Rosenberg,andAcceptance of others.Results:Totally paranoid patients with convalescent schizophrenia100cases, study group10cases fall off, the control group of1cases,89cases were finally entered the result analysis. Before intervention, two groups of patients with general situation, treatment and evaluation indexes were no significant difference among.①Patients in the study group after treatment, quality of life scale score was significantly decreased than before treatment, the paired t test showed significant difference (t=10.00, P=0.000). The psychological and social factors, energy/motivation factors, symptoms/side effects by paired t test showed significant difference (t=7.79, P=0.000; t=5.61, P=0.000; t=3.46, P=0.001). Treatment of two groups of patients after total score by the independent samples t test were significantly (t=-4.63, P=0.000). The psychological and social factors, symptoms/side reaction factor with independent sample t test showed significant difference (t=-2.51, P=0.014; t=-238, P=0.019). Energy/motivation factor hasno statistically significant difference. Insight Self-evaluation Scale Research Group at the end of treatment of paired t test showed significant difference (t=-2.59, P=0.014). Compared with independent sample t test showed no significant difference with control group.③The self-esteem scale score increased self-esteem in the study group after treatment, the paired t test showed significant difference in statistical significance (t=-3.65, P=0.001).Two groups of patients with self-esteem scale after treatment score by the independent samples t test showed significant difference in statistical significance (t=2.80, P=0.006).④Family adaptability and Cohesion Scale in group therapy in the treatment of actual intimacy, adaptability, practical ideal adaptability by paired t test showed significant difference in statistical significance (t=-9.02, P=0.000;t=-4.49, P=0.000;t=-2.80, P=0.008). Two groups after treatment were compared to the actual intimacy, adaptability, practical ideal adaptability with independent sample t test showed significant difference in statistical significance (t=5.91, P=0.000; t=2.96, P=0.004;t=3.28, P=0.001).⑤Faith in people scale study group after the treatment with paired t test showed significant difference in statistical significance (t=7.80, P=0.000). Treatment of two groups of patients after the faith in people scale score by the independent samples t test showed significant difference in statistical significance (t=-6.99, P=0.000).⑥Research group of acceptance of others scale score in the acceptance of others and to accommodate the score after treatment with paired t test showed significant difference in statistical significance by others (t=-3.20,P=0.003; t=-6.48, P=0.000). After the treatment of two patients receiving others and being accommodated by the independent sample t test score difference significant (t=3.43, P=0.001; t=2.78, P=0.007).⑦Research groups, different cultural levels in patients with SQLS score reduction rate with significant difference (P<0.01), whether with trihexyphenidyl has significant difference (P<0.05), and different marriage, smoking, drinking, work, family history and the use of antipsychotics classified rate showed no significant difference in patients with SQLS scores reduction (P>0.05). The total duration of patients and decrease rate of SQLS total score was negatively correlated with statistical significance (P<0.01); and patients, age of onset and the first treatment is related to age, and has statistical significance (P<0.01); and with the actual age, patients live without first of age and dose (P>0.05).⑨Through the intervention of DNCT SQLS total score difference and self-esteem scale score difference is positive; negative correlation with actual intimate degree difference; positive correlation with the trust value, and there was a statistically significant difference; and accommodating others positively correlated, and there was a statistically significant difference; and others hold negative correlation.⑩Psychosocial factor score difference and difference is negatively related to self-esteem, and statistically significant negative correlation with the ideal intimacy; difference; correlation and trust others to accommodate others difference; and the difference is statistically significant..(11) Energy/motivation factor score difference and ideal intimacy degree difference is positive; negative correlation with trust others difference; and by others to accommodate negative correlation.(12) Symptoms/side reaction factor score difference and the difference is related to self-esteem; and negatively related to trust others difference; and by others to accommodate the difference is statistically significant,.Conclusions:On the premise of drug treatment:①Dispersed Naikan cognitive therapy can significantly improve the quality of life in patients with paranoid schizophrenia in rehabilitation period;②Dispersion of Naikan cognitive therapy can effectively improve the paranoid schizophrenia patients in rehabilitation period insight water;③Dispersion of Naikan cognitive therapy can significantly improve the paranoid schizophrenia patients in rehabilitation period of self-esteem;④Dispersion of Naikan cognitive therapy can improve the paranoid schizophrenia patients in rehabilitation period family cohesion and adaptability;⑤Dispersion of Naikan cognitive therapy can improve patients with schizophrenia paranoid type mental rehabilitation period to accommodate others and trust degree.⑥Dispersion of Naikan cognitive therapy as a convenient model of psychological therapy, applied to the patients with convalescent schizophrenia has good prospects, is a worthy approach. |
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