Clinical efficacy of cognitive-behavioral therapy in community rehabilitation of schizophrenia
认知行为治疗在精神分裂症社区康复的临床疗效

摘要

目的 分析精神分裂症患者社区康复中实施认知行为治疗的价值。方法 选取本院收治共98例精神分裂症患者进行分组对照研究（时段2023年8月~2024年8月），全部患者随机划分2组各49例。对照组予以常规治疗康复，观察组在此基础上予以认知行为治疗。基于认知功能、精神症状、生活质量综合评价2组干预效果。结果 干预后观察组阳性与阴性症状量表（PANSS）评分较对照组减少，精神分裂症认知功能简明成套测评量表（BACS）评分较对照组增加（P＜0.05）。干预后观察组精神分裂症患者生活质量量表（SQLS）评分较对照组减少（P＜0.05）。结论 精神分裂症患者在社区康复中实施认知行为治疗有助于改善认知功能与精神症状，提高生活质量。

Abstract

Objective To analyze the value of implementing cognitive-behavioral therapy in community rehabilitation for patients with schizophrenia.
Methods A total of 98 patients with schizophrenia admitted to our hospital were selected for a group controlled study (period from August 2023 to August 2024). All patients were randomly divided into two groups, with 49 patients in each group. The control group received routine treatment and rehabilitation, while the observation group received cognitive-behavioral therapy on this basis. Based on the comprehensive evaluation of cognitive function, mental symptoms, and quality of life, the intervention effects of two groups were evaluated.
Results After the intervention, the positive and negative symptom scale (PANSS) scores in the observation group decreased compared to the control group, while the concise cognitive function assessment scale (BACS) scores in schizophrenia increased compared to the control group (P<0.05). After intervention, the quality of life scale (SQLS) scores of schizophrenia patients in the observation group decreased compared to the control group (P<0.05).
Conclusion   Implementing cognitive-behavioral therapy in community rehabilitation for patients with schizophrenia can help improve cognitive function and mental symptoms, and enhance their quality of life.