《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (2): 174-175.

• 论文 • 上一篇    下一篇

森田疗法对精神分裂症患者自尊水平和生活满意度的1 年随访

周依文，周一平   

  1. 上海交通大学医学院附属精神卫生中心康复科，上海市200030。
  • 收稿日期:2013-05-09 修回日期:2013-10-17 出版日期:2014-02-25 发布日期:2014-02-25

Effect of Morita Therapy on Self-esteem and Life Satisfaction for Schizophrenia: 1 Year Follow-up Study

ZHOU Yi-wen, ZHOU Yiping.   

  1. Department of Mental Rehabilitation, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
  • Received:2013-05-09 Revised:2013-10-17 Published:2014-02-25 Online:2014-02-25

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被引次数

21

摘要： 目的观察森田疗法对精神分裂症患者自尊水平、生活满意度和社会功能的效果。方法对140 例精神分裂症患者在住院期间应用森田疗法理论指导，出院后跟踪随访1 年，采用自尊量表(SES)、生活满意度指数B(LSIB)和出院后个人和社会表现量表(PSP)进行评定。结果治疗后，康复期精神分裂症患者SES评分和LSIB评分有显著提高(P=0.000)。出院后117 例(83.57%)病情稳定；20 例(14.29%)出现服药依从性差，病情不稳定，3 例(2.14%)复发再入院。对病情稳定者随访1 年后，SES 评分和LSIB 评分均保持在出院水平；94 例患者社会功能保持在良好水平以上。结论森田疗法对改善康复期精神分裂症患者的自尊水平、主观生活满意度和保持良好的社会功能有积极的临床实践意义。

关键词: 精神分裂症, 森田疗法, 自尊, 生活满意度

Abstract: Objective To observe the effect of Morita therapy on self-esteem level and life satisfaction in schizophrenic patients. Methods 140 schizophrenic patients received Morita therapy, and followed up for 1 year. Self- esteem Scale (SES), Life Satisfaction Index B (LSIB), and Personal and Social Performance scale (PSP) were evaluated. Results The scores of SES and LSIB significantly improved after treatment (P=0.000). 117 cases (83.57%) were in stable condition; 20 cases (14.29%) were in unstable condition with poor medication compliance; only 3 cases (2.14%) needed to be re-hospitalized due to relapse. The 117 cases were followed up for 1 year, and their SES and LSIB scores maintained at the level when discharge, in which 94 cases kept in well social function. Conclusion Morita therapy can improve the self-esteem and life satisfaction of schizophrenic patients, and maintain good social function.

Key words: schizophrenia, Morita therapy, self-esteem, life satisfaction