| Objective: Observe the impact of Social Cognitive Interaction Training(Social Cognition and Interaction Training,SCIT)on the clinical symptoms and the social function and cognitive function of patients with bipolar disorder,provide the basis for clinical prevention and intervention.Based on the ways of Social Cognitive and Interactive Training(SCIT)and Health Education,at the training end,the two group members in the HAMD-17 and YMRS whether have difference,and explore the SCIT whether can be help bipolar disorder patients to control symptoms.By analyzing the changes of cognitive function and FAST in the SCIT group and the control group at baseline and at the end of the 8 week,the effects of SCIT training on the cognitive function and overall function of bipolar disorder patients were investigated.Through a detailed analysis of FAST scores change before and after of SCIT training,and got which dimension is more obvious in bipolar disorder.In this research of SCIT that the method was adjusted,and it was extended adjuvant treatment for patients with bipolar disorder,we hope this study can be provides the basis and data support for SCIT in the treatment of patients with China bipolar disorder,and continued the theory reference to the study and extend to other types of psychiatric diseases.Methods:Use prospective,randomized,eight weeks' intervention method,on the basis of mental disorders statistics and diagnostic manual version 5(DSM-5)in the diagnostic criteria for bipolar disorder remission to comply with the group of 80 patients with the remission period,random method is divided into two groups,namely the SCIT group and the control group(group health education),each groups include 40 patients,and 5 cases falls off in SCIT group,1 cases falls off in control group.Using HAMD-17,YMRS,FAST,the Chinese version of MCCB,to evaluate baseline and 8 weeks' status,use of IBM's SPSS statistical software 23.0 version for data analysis.At the baseline,collected the personal information immediately,and the values of each scale were collected.Using HAMD-17 and YMRS as the assessment of the severity of the symptoms.FAST and cognitive test battery Chinese Version(MCCB)encoding selected Trail Making Test,Symbol Digit Modalities Test,etc,evaluated the function evaluation.Use of IBM's SPSS 23 version and Excel version of 2016,the collected data,input,analysis data.Count data was used to ?2 test,adopting the form of percentage;if the measurement data with normal distribution,then use independent t test and paired t test to analyzed,adopting the form of mean ± standard deviation;the relevance between data,using Pearson correlation analysis,adopting the form of a correlation coefficient.With p < 0.05 have statistical significance.Results:1.In the group of two subjects on the population data,including gender,age,marital status,smoking history,drinking history,occupation,education,and the years of the course of the disease,family history of general social and demographic data found no statistically significant difference(p > 0.05).2.Two subjects of HAMD-17 and YMRS scores was not statistically significant difference,after the training(8 weeks),SCIT group and control group on the HAMD-17 and YMRS scores decreased on the different degrees,SCIT group reduced more obviously,the difference had statistically significance(p<0.05).3.SCIT group and control group at the end of the training,the FAST scores had a significant decrease on the SCIT group,the difference did have the obvious statistically significance(p<0.05).4.SCIT group and control group after the training,cognitive function evaluation scores showed that SCIT group functional scores in memory,logical reasoning ability and executive function were higher than the control group,the difference have statistically significance(p<0.05).Conclusion:SCIT may in the mitigation clinical of symptoms and improve overall social and cognitive functions of bipolar disorder remission patients corresponding effect,can be prospects for clinical intervention. |
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