[1]徐松,谢俊鹏,彭李,等.正念心理干预对康复期精神分裂症军人情绪体验和注意控制的影响[J].第三军医大学学报,2018,40(17):1527-1533.
 XU Song,XIE Junpeng,PENG Li,et al.Effect of psychological intervention of mindfulness on emotional experience and attentional control in soldiers with schizophrenia during rehabilitation[J].J Third Mil Med Univ,2018,40(17):1527-1533.
点击复制

正念心理干预对康复期精神分裂症军人情绪体验和注意控制的影响(/HTML )
分享到:

《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
40卷
期数:
2018年第17期
页码:
1527-1533
栏目:
军事医学:心理学
出版日期:
2018-09-15

文章信息/Info

Title:
Effect of psychological intervention of mindfulness on emotional experience and attentional control in soldiers with schizophrenia during rehabilitation
作者:
徐松谢俊鹏彭李付春安李敏熊加祥
陆军军医大学(第三军医大学):基础医学院生理学教研室,心理学院军事心理学教研室;解放军第477医院精神科
Author(s):
XU Song XIE Junpeng PENG Li FU Chun’an LI Min XIONG Jiaxiang

Department of Physiology, College of Basic Medical Sciences, Department of Military Psychology, School of Psychology, Army Medical University (Third Military Medical University), Chongqing, 400038; Department of Psychiatry, No. 477 Hospital of PLA, Xiangyang, Hubei Province, 441003, China

关键词:
正念精神分裂症正负性情绪注意控制
Keywords:
mindfulness schizophrenia positive and negative affect attentional control
分类号:
R749.055; R749.3; R823
文献标志码:
A
摘要:

目的   探讨基于正念的心理干预(mindfulnessbased interventions,MBI)对于康复期精神分裂症军人临床症状、情绪体验及注意控制的影响。方法    将某部队医院精神科50名康复期军人精神分裂症住院患者分为正念干预组和常规治疗组。常规治疗组接受常规康复治疗,正念干预组在常规治疗基础上进行为期1个月的MBI(结合精神分裂症特点和正念认知疗法的心理干预),90 min/次,共12次。采用正念五因素量表(Five Facet Mindfulness Questionnaire,FFMQ)、正负性情绪量表(Positive and Negative Affect Scale, PANAS)、注意控制量表(Attentional Control Scale, ACS)以及阳性阴性症状量表(Positive and Negative Syndrome Scale, PANSS),分别在干预前后对2组进行测评,将测评结果进行对比分析。结果常规治疗组患者的PANSS、FFMQ、PANAS、ACS干预前后得分差异均无统计学意义(P>0.05),正念干预组患者进行干预后一般精神病理、负性情绪得分显著降低(P<0.01),而FFMQ、ACS得分显著升高(P<0.01)。结论    MBI能够减轻康复期精神分裂症军人的病情严重程度,降低其负性情绪,提高其注意控制能力。

Abstract:

Objective    To investigates the effect of mindfulness-based intervention (MBI) on clinical symptoms, emotional experience and attentional control in military schizophrenics during rehabilitation period. Methods    Fifty armymen with convalescent schizophrenia during rehabilitation period in a military hospital were paired into MBI group and conventional treatment group. The patients of the latter group received conventional treatment, while those of the MBI group were added with MBI (with combination of the characteristics of schizophrenia and classic mindfulness cognitive therapy), 90 min per time, totally 12 times, for 1 month. Five Facet Mindfulness Questionnaire (FFMQ), Positive and Negative Affect Scales (PANAS), Attentional Control Scale (ACS) and Positive and Negative Syndrome Scale (PANSS) were used to evaluate the patients before and after the intervention, and the results were compared between the 2 groups. ResultsThere were no differences in the scores of PANSS, FFMQ, PANAS and ACS in the conventional treatment group before and after treatment (P>0.05). The scores of general psychopathology and negative affect were significantly decreased (P<0.01), while those of FFMQ and ACS were obviously increased (P<0.01) in the MBI group after the treatment. Conclusion    MBI attenuates the severity of schizophrenia in the military patients during rehabilitation period, reduces their negative affect and enhances their attentional control.

参考文献/References:

[1]ADDINGTON D, ANDERSON E, KELLY M, et al. Canadian Practice Guidelines for Comprehensive Community Treatment for Schizophrenia and Schizophrenia Spectrum Disorders[J]. Can J Psychiatry, 2017, 62(9): 662-672. DOI:10.1177/0706743717719900.
[2]王志忠, 谭庆荣. 军人中精神障碍流行病学研究现状[J]. 上海精神医学, 2010, 22(4): 249-250,253. DOI:10.3969/j.issn.10020829.2010.04.017.
WANG Z Z,TAN Q R.Epidemiological survey on mental health of military personnel[J]. Shanghai Arch Psychiatry, 2010,22(4):249-250,253.DOI:10.3969/j.issn.10020829.2010.04.017.
[3]赵占宏, 陈红梅, 苏秀茹, 等. 结构式团体治疗对住院男性慢性精神分裂症患者孤独感的疗效[J]. 中国心理卫生杂志, 2010, 24(11): 818-822.DOI: 10.3969/.issn.10006729.2010.11.004.
ZHAO Z H,CHEN H M,SU X R,et al.The efficacy of structural group therapy on the loneliness in male inpatients with chronic schizophrenia[J].Chin Ment Heal J, 2010, 24(11): 818-822. DOI:10.3969/j.issn.10006729.2010.11.004.
[4]王成艳, 程明明, 盛铭钧. 认知存在团体对社区慢性精神分裂症患者的干预效果[J]. 中国健康心理学杂志, 2013, 21(7): 974-977. DOI: 10.13342/j.cnki.cjhp.2013.07.067.
WANG C Y,CHENG M M,SHENG M J. Efficacy of cognitiveexistential group intervention of chronic schizophrenics in community.[J].Chin J Heal Psychol,2013,21(7): 974-977.DOI:10.13342/j.cnki.cjhp.2013.07.067.
[5]NIKOLITCH K, LALIBERT V, YU C, et al. Tolerability and suitability of brief group mindfulnessoriented interventions in psychiatric inpatients: a pilot study[J]. Int J Psychiatry Clin Pract, 2016, 20(3): 170-174. DOI:10.1080/13651501.2016.1197276.
[6]CHADWICK P. Mindfulness for psychosis[J]. Br J Psychiatry, 2014, 204: 333-334. DOI:10.1192/bjp.bp.113.136044.
[7]凌姝. 团体教育联合正念认知训练对康复期精神分裂症病人自尊及自我效能感的影响[J]. 全科护理,2016, 14(15): 1599-1601. DOI:10.3969/j.issn.16744748.2016.15.040.
LING S. Effect of group education combined with mindfulness cognitive training on selfesteem and selfefficacy in patients with schizophrenia during rehabilitation[J]. Chin Gen Prac Nurs,2016,14(15):1599-1601. DOI:10.3969/j.issn.16744748.2016.15.040.
[8]黄私伟, 秦芙蓉, 李帅. 正念训练干预对住院精神分裂症患者的影响[J]. 当代护士(上旬刊), 2017(7): 108-110. DOI:10.3969/j.issn.10066411.2017.07.055.
HUANG S W,QIN F R,LI S.Effect of mindfulness training intervention on inpatients with schizophrenia[J].Today Nurse, 2017(7): 108-110. DOI:10.3969/j.issn.10066411.2017.07.055.
[9]黄丽,杨廷忠,季忠民.正性负性情绪量表的中国人群适用性研究[J].中国心理卫生杂志,2003,17(1):54-56.DOI:10.3321/j.issn:10006729.2003.01.018.
HUANG L,YANG T Z,JI Z M.Applicability of the Positive and Negative Affect Scale in Chinese[J]. Chin J Mental Health,2003,17(1):54-56. DOI:10.3321/j.jssn:10006729.2003.01.018.
[10]JUDAH M R, GRANT D M, MILLS A C, et al. Factor structure and validation of the Attentional Control Scale[J]. Cogn Emot, 2014, 28(3): 433-451. DOI:10.1080/02699931.2013.835254.
[11]DENG Y Q, LIU X H, RODRIGUEZ M A, et al. The Five Facet Mindfulness Questionnaire: Psychometric Properties of the Chinese Version[J]. Mindfulness, 2011, 2(2): 123-128. DOI:10.1007/s1267101100509.
[12]何燕玲, 张明园. 阳性和阴性症状量表的中国常模和因子分析[J]. 中国临床心理学杂志, 2000, 8(2): 65-69. DOI:10.3969/j.issn.10053611. 2002.02.001.
HE Y L,ZHANG M Y.The Chinese norm and factor analysis of PANSS[J].Chin J Clin Psychol,2000,8(2):65-69.DOI:10.3969/j.issn.10053611.2000.02.001.
[13]BROWN K W, RYAN R M, CRESWELL J D. Mindfulness: theoretical foundations and evidence for its salutary effects[J]. Psychol Inquiry, 2007, 18(4): 211-237. DOI:10.1080/10478400701598298.
[14]PIET J, HOUGAARD E. The effect of mindfulnessbased cognitive therapy for prevention of relapse in recurrent major depressive disorder: a systematic review and metaanalysis[J]. Clin Psychol Rev, 2011, 31(6): 1032-1040. DOI:10.1016/j.cpr.2011.05.002.
[15]WANDENBERGHE R G, SANZVALERO J, WANDENBERGHE C. The application of mindfulness to eating disorders treatment: a systematic review[J]. Eat Disord, 2011, 19(1): 34-48. DOI:10.1080/10640266.2011.533604.
[16]ZGIERSKA A, RABAGO D, CHAWLA N, et al. Mindfulness meditation for substance use disorders: a systematic review[J]. Subst Abus, 2009, 30(4): 266-294. DOI:10.1080/08897070903250019.
[17]CHIEN W T, BRESSINGTON D, YIP A, et al. An international multisite, randomized controlled trial of a mindfulnessbased psychoeducation group programme for people with schizophrenia[J]. Psychol Med, 2017, 47(12): 2081-2096. DOI:10.1017/S0033291717000526.
[18]DAVIS L W, LYSAKER P H, KRISTELLER J L, et al. Effect of mindfulness on vocational rehabilitation outcomes in stable phase schizophrenia[J]. Psychol Serv, 2015, 12(3): 303-312. DOI:10.1037/ser0000028.
[19]CHIEN W T, LEE I Y. The mindfulnessbased psychoeducation program for Chinese patients with schizophrenia[J]. Psychiatr Serv, 2013, 64(4): 376-379. DOI:10.1176/appi.ps.002092012.
[20]TABAK N T, GRANHOLM E. Mindful cognitive enhancement training for psychosis: a pilot study[J]. Schizophr Res, 2014, 157(1/3): 312-313. DOI:10.1016/j.schres.2014.06.002.
[21]TANG Y Y, MA Y, WANG J, et al. Shortterm meditation training improves attention and selfregulation[J]. Proc Natl Acad Sci U S A, 2007, 104(43): 17152-17156. DOI:10.1073/pnas.0707678104.
[22]JHA A P, KROMPINGER J, BAIME M J. Mindfulness training modifies subsystems of attention[J]. Cogn Affect  Behav Neurosci, 2007, 7(2): 109-119. DOI:10.3758/cabn.7.2.109.

相似文献/References:

[1]张丹,刘莉,欧建君,等.认知矫正治疗对精神分裂症患者认知功能和服药依从性的影响[J].第三军医大学学报,2015,37(16):1682.
[2]程国华,彭超,李永德,等.双环己酮草酰二腙诱导精神分裂症小鼠模型胼胝体有髓神经纤维脱髓鞘的定量观测[J].第三军医大学学报,2013,35(07):598.
 Cheng Guohua,Peng Chao,Li Yongde,et al.Quantitation of demyelination in corpus callosum of CPZ-induced mouse model of schizophrenia[J].J Third Mil Med Univ,2013,35(17):598.
[3]刘力,秦晓霞,黄永进,等.精神分裂症认知功能障碍与事件相关电位P300的相关性研究[J].第三军医大学学报,2007,29(23):2286.
 LIU Li,QIN Xiao-xia,HUANG Yong-jin,et al.Relationship between cognitive disorders in schizophrenia and event-related potential P300[J].J Third Mil Med Univ,2007,29(17):2286.
[4]黄平,杨泽云.中药血府逐瘀汤辅助阿立哌唑治疗闭经的精神分裂症对照观察[J].第三军医大学学报,2011,33(06):625.
 Huang Ping,Yang Zeyun.Controlled observation of traditional Chinese medicine Xuefuzhuyu decoction combined with aripiprazole in treatment of schizophrenic patients with antipsychotic-induced amenorrhea[J].J Third Mil Med Univ,2011,33(17):625.
[5]李大奇,苏华龙,吴胜.648例首发精神分裂症用药情况[J].第三军医大学学报,2011,33(06):643.
[6]郭菁,李雷雷,黄婷,等.米氮平辅助治疗精神分裂症阴性症状疗效与安全性的Meta分析[J].第三军医大学学报,2013,35(18):1984.
 Guo Jing,Li Leilei,Huang Ting,et al.A Meta analysis on efficiency and safety of mirtazapine in treatment of negative symptoms in schizophrenia[J].J Third Mil Med Univ,2013,35(17):1984.
[7]李凤,陈明,李小刚.误诊为精神分裂症的额颞叶痴呆1例[J].第三军医大学学报,2013,35(22):2494.
[8]李永德,王芸,程国华,等.不同双环己酮草酰二腙剂量诱导小鼠行为学改变及海马CA1区和DG区内有髓神经纤维改变[J].第三军医大学学报,2013,35(13):1331.
 Li Yongde,Wang Yun,Cheng Guohua,et al.Different doses of cuprizone induce mice behavior alterations and changes of myelinated nerve fibers in hippocampal CA1 and DG regions[J].J Third Mil Med Univ,2013,35(17):1331.

更新日期/Last Update: 2018-09-17