上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2020, Vol. 40 ›› Issue (4): 500-.doi: 10.3969/j.issn.1674-8115.2020.04.014

• 论著·临床研究 • 上一篇    下一篇

社交技能训练在门诊精神分裂症患者中的应用研究

栾风焕1，叶惠玲2，徐 璐1，范 青2，宋立升2   

  1. 1.上海市静安区精神卫生中心康复科，上海 200040；2.上海交通大学医学院附属精神卫生中心康复科，上海 200030
  • 出版日期:2020-04-28 发布日期:2020-05-22
  • 通讯作者: 范 青，电子信箱：fanqing@smhc.org.cn。
  • 作者简介:栾风焕（1991—），女，心理治疗师，硕士；电子信箱：luanfh@sjtu.edu.cn。
  • 基金资助:
    上海市静安区卫生科研项目（2018GW05）；上海市精神卫生中心重点特色专科——精神康复特色专科（2017-TSXK-08）。

Application of social skills training to outpatients with schizophrenia

LUAN Feng-huan, YE Hui-ling, XU Lu, FAN Qing, SONG Li-sheng   

  1. 1. Shanghai Jingan Mental Health Center, Shanghai 200040, China; 2. Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
  • Online:2020-04-28 Published:2020-05-22
  • Supported by:
    Health Research Project for Shanghai Jingan District (2018GW05); Shanghai Mental Health Center Characteristic Specialized Subject—Mental Rehabilitation Specialty (2017-TSXK-08).

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摘要： 目的·探讨社交技能训练对门诊精神分裂症患者的社交水平及社会适应能力的改善作用。方法·对38例符合ICD-10精神分裂症诊断的门诊康复期精神分裂症患者进行12次社交技能训练，每周1次，为期12周；并在训练前后分别评估社交技能评定目录（Social Skills Checklist，SSC）和社会适应功能评估量表（Social Adaptive Functioning Evaluation，SAFE）；训练前以社会功能缺陷筛选量表（Social Disability Screening Schedule，SDSS）为依据，将患者划分为不同精神残疾等级，以比较不同等级患者的训练效果。结果·训练后，患者SSC中交谈能力、冲突解决能力、建立关系能力得分及总分均低于干预前，差异具有统计学意义（均P0.000）；SAFE中基本生活技能、高级生活技能、沟通技能和社交技能得分及总分均低于干预前，差异具有统计学意义（均P结论·社交技能训练可改善门诊精神分裂症患者的社交水平和社会适应能力。

关键词: 精神分裂症, 社交技能训练, 社交技能, 社会适应功能

Abstract:

Objective · To investigate the effect of social skills training on the improvement of sociability and social adaptability of outpatients with schizophrenia. Methods · Thirty-eight cases of patients met ICD-10 diagnostic criteria received social skills training once a week for 12 weeks; Social Skills Checklist (SSC) and Social Adaptive Functioning Evaluation (SAFE) were conducted before and after the training assessment respectively. The patients were divided into different groups according to the levels of mental disability based on Social Disability Screening Schedule (SDSS) before training, and the effect of social skills training were compared among the groups. Results · The scores on conversation, conflict resolution and build relationships ability and total scores in SSC decreased after social skills training (P0.000 in all) . The scores on basic life skills, advanced life skills, communication skills and social skills, as well as the total score in SAFE decreased after training (PConclusion · Social skills training can effectively improve the social skills and social adaptability of outpatients with schizophrenia.

Key words: schizophrenia, social skills training, social skills, social adaptive function