心理教育对首发精神分裂症及慢性精神分裂症的康复作用
【摘要】 目的 比较心理教育对首发精神分裂症及慢性精神分裂症的康复作用。方法 对首发精神分裂症及慢性精神分裂症进行为期4周的心理教育并随访1年，比较BPRS、SI、GAS、SDSS及复发、服药情况。结果 心理教育对首发精神分裂症和慢性精神分裂症均有良好的康复作用，对首发精神分裂症康复作用优于慢性精神分裂症。结论 对精神分裂症越早进行心理教育康复效果越好。
【关键词】 心理教育；首发精神分裂症；量表
Effect of Psychoeducation on First-episod and Chronic Schizophrenia Rehabilitative Action. Wei Xianyu. Dongfand People"s Hospital of Xuzhou, Xuzhou 221004, P.R.China
【Abstract】 Objective To compare the effect of healing of pshchological education between episod schizophrenias and chronic schizophrenias. Methods Following 4 weeks of pshchological education, recurrence rate of schizophrenics and use of medicament were evaluated and the scores of brief psychiatric rating scale(BPRS), pathogenetic condition Severity indicatrix(SI), general ability scale(GAS), social disability screening schedule(SDSS) were graded respectively in one-year follow-up. Results The good effect of healing was received in initial schizophrenias and chronic schizophrenias who were given pshchological education, and this effect will be better in initial schizophrenias. Conclusion In the treatment of schizophrenia, we found that the earlier psychological education, the better effect of healing.
【Key words】 Psychoeducation; First-episod schizophrenia; Scale
对精神分裂症患者进行康复治疗研究较多[1-7]，心理教育对精神分裂症作用已被认可[6]，探讨心理教育对首发精神分裂症与慢性精神分裂症的康复作用的差异而未见报道。
1 对象与方法
1.1 对象 符合CCMD-3精神分裂症诊断标准，经治疗阳性症状基本控制。年龄16～55岁，无躯体疾病和精神发育迟滞患者。甲组为首发精神分裂症，乙组为慢性精神分裂症患者（病程2年以上，SDSS两分以上者）每组各100人。
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