지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Objectives Cognitive behavioral therapy of schizophrenia has been developed as a psychological therapy for drug resistant patients with schizophrenia. However, there are some controversial issues regarding the size and mode of the therapeutic effect. The aim of this study is to compare the effect of cognitive behavioral therapy with supportive therapy after treatment.
Methods Patients with drug resistant schizophrenia were randomly allocated, and stratified according to two mental health institutes to two different therapy groups. We used four assessment scales to evaluate residual symptoms of patients in detail. Patients were assessed twice by a blind rater, at baseline and after treatment.
Results No significant differences in the change of PANSS (Positive and Negative Syndrome Scale) scores were observed between the cognitive behavioral therapy and supportive therapy groups at one month after treatment. There was no significant difference in change of K-PSYRATS (Korean-Psychotic Symptom Rating Scale)-Delusion score, however, a trend toward significance in K-PSYRATS - Hallucination was observed between the two groups. In the aspect of insight, a significant difference in the change of SDMD-K (The Scale to assessment Unawareness of Mental Disorder-Korean version) score was observed between the two groups after treatment.
Conclusion Despite remarkable development of pharmacotherapy for schizophrenia, many patients still suffer from residual symptoms. Findings of this study showed that cognitive behavioral therapy can improve the insight of patients and reduce the severity of residual positive symptoms, especially hallucination. Cognitive behavioral therapy should be practiced effectively in the psychiatric clinic and community mental health system.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Amador XF / 1993 / Assessment of insight in psychosis / Am J Psychiatry 150 : 873 ~ 879
Gunderson JG / 1984 / Effects of psychotherapy in schizophrenia: II. Comparative outcome of two forms of treatment / Schizophr Bull 10 : 564 ~ 598
Haddock G / 1999 / Scales to measure dimensions of hallucinations and delusions: the psychotic symptom rating scales (PSYRATS) / Psychol Med 29 : 879 ~ 889
Kim KR / 2011 / Clinical efficacy of individual cognitive therapy in reducing psychiatric symptoms in people at ultra-high risk for psychosis / Early Interv Psychiatry 5 : 17
Lewis S / 2002 / Randomised controlled trial of cognitive-behavioural therapy in early schizophrenia: acute-phase outcomes / Br J Psychiatry Suppl 43 : 91 ~ 97
Gunderson JG / 1984 / Effects of psychotherapy in schizophrenia: II. Comparative outcome of two forms of treatment / Schizophr Bull 10 : 564 ~ 598
Haddock G / 1999 / Scales to measure dimensions of hallucinations and delusions: the psychotic symptom rating scales (PSYRATS) / Psychol Med 29 : 879 ~ 889
Kim KR / 2011 / Clinical efficacy of individual cognitive therapy in reducing psychiatric symptoms in people at ultra-high risk for psychosis / Early Interv Psychiatry 5 : 17
Lewis S / 2002 / Randomised controlled trial of cognitive-behavioural therapy in early schizophrenia: acute-phase outcomes / Br J Psychiatry Suppl 43 : 91 ~ 97
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