摘要： 目的·探討社交技能訓(xùn)練對(duì)門診精神分裂癥患者的社交水平及社會(huì)適應(yīng)能力的改善作用。方法·對(duì)38例符合ICD-10精神分裂癥診斷的門診康復(fù)期精神分裂癥患者進(jìn)行12次社交技能訓(xùn)練，每周1次，為期12周；并在訓(xùn)練前后分別評(píng)估社交技能評(píng)定目錄（Social Skills Checklist，SSC）和社會(huì)適應(yīng)功能評(píng)估量表（Social Adaptive Functioning Evaluation，SAFE）；訓(xùn)練前以社會(huì)功能缺陷篩選量表（Social Disability Screening Schedule，SDSS）為依據(jù)，將患者劃分為不同精神殘疾等級(jí)，以比較不同等級(jí)患者的訓(xùn)練效果。結(jié)果·訓(xùn)練后，患者SSC中交談能力、沖突解決能力、建立關(guān)系能力得分及總分均低于干預(yù)前，差異具有統(tǒng)計(jì)學(xué)意義（均P0.000）；SAFE中基本生活技能、高級(jí)生活技能、溝通技能和社交技能得分及總分均低于干預(yù)前，差異具有統(tǒng)計(jì)學(xué)意義（均P結(jié)論·社交技能訓(xùn)練可改善門診精神分裂癥患者的社交水平和社會(huì)適應(yīng)能力。

關(guān)鍵詞: 精神分裂癥, 社交技能訓(xùn)練, 社交技能, 社會(huì)適應(yīng)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

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