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Effects of Liberman rehabilitation therapy and acupoint application on executive function and social function in patients with schizophrenia |
ZHI Pu TIAN Yumei XUE Xiaobao WANG Guodong▲ |
Xi’an Mental Health Center, Shaanxi Province, Xi’an 710061, China |
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Abstract Objective To compare the effects of Liberman rehabilitation therapy and acupoint application on executive function and social function in patients with schizophrenia. Methods Sixty patients with schizophrenia in Xi’an Mental Health Center from June 2018 to June 2019 were selected as the research subjects. According to the random number table method, they were divided into rehabilitation group and acupoint group, with 30 patients in each group. On the basis of conventional drug therapy in the department of psychiatry, the rehabilitation group was treated with Liberman rehabilitation treatment, and the acupoint group was treated with acupoint application. The treatment courses were all 12 weeks. Cognitive function rating (Stroop) and social function rating scale (SDSS) were compared between the two groups before and after treatment. Results Before treatment, there was no statistical significance in Stroop scores between the two groups (P > 0.05). After treatment, the scores of Stroop words and Stroop color words in the rehabilitation group were higher than those before treatment, with statistically significant differences (all P < 0.05), while there was no statistical significance in Stroop word color in the rehabilitation group compared with before treatment (P > 0.05). There was no significant difference in Stroop scores in the acupoint group compared with before treatment (P > 0.05). After treatment, the scores of Stroop words and Stroop color words in the rehabilitation group were higher than those in the acupoint group, with statistically significant differences (all P < 0.05), while there was no significant difference in Sroop word color between the two groups (P > 0.05). Before and after treatment, there was no statistical significance in SDSS scores between the two groups (P > 0.05). After treatment, the scores of social withdrawal, social activities within the family, social activities outside the family, social activities within the family and family function in the rehabilitation group were all lower than before treatment, with statistically significant differences (all P < 0.05). Social withdrawal in acupoint group was lower than that before treatment, and the difference was statistically significant (P < 0.05). Conclusion Both Liberman rehabilitation training and acupoint application can improve the patients’ executive function and social function, but the effect of Liberman rehabilitation training is better than acupoint application.
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[1] 康红,陶建青,梁佳,等.慢性精神分裂症照料者生命质量的调查[J].中国健康心理学杂志,2017,25(5):652-655.
[2] 宋振华,盛建华,施慎逊.精神分裂症国内认知功能研究现状[J].上海精神医学,2003,17(6):360-362.
[3] 崔萌,王克,曾波涛,等.精神分裂症首发患者新型抗精神病药治疗前后认知功能的变化[J].临床精神医学杂志,2017,27(2):129-130.
[4] 林培珺,王鹏,陈静,等.精神分裂症患者执行功能、社会功能与共情能力的相关性研究[J].国际精神病学杂志,2018,45(5):841-843,854.
[5] 刘琳,王惠玲.精神分裂症执行功能与精神症状的关系[J].武汉大学学报:医学版,2012,33(1):66-69.
[6] 周晨辉,王志仁,刘小蕾,等.精神分裂症患者认知功能损害的机制及治疗进展[J].国际精神病学杂志,2017,44(2):204-206.
[7] Levine SZ,Rabinowitz J,Ascher-Svanum H,et al. Extent of attaining and maintainingand maintaining schizophrenia: evidence from the CATIE study [J]. Schizophr Res,2011, 133(1/3):42-46.
[8] 胡建平,杨琴,郭轶,等.利伯曼精神康复技术对长期住院的慢性精神分裂症患者的康复作用[J].中国实用医药,2020,15(18):190-191.
[9] Heckers S,Barch DM,Bustillo J,et al. Structure of the psychotic disorders classification in DSM-5 [J]. Schizophr Res,2013,150(1):11-14.
[10] 陈欢. 韦氏成人智力测验第三版(中文版):精神分裂症患者与正常成人的对照研究[D].长沙:中南大学,2007.
[11] 周燕玲.奥氮平与其他二代抗精神病药对精神分裂症患者自知力疗效的比较[A].中华医学会(Chinese Medical Association)、中华医学会精神医学分会(Chinese Society of Psychiatry).中华医学会第十三次全国精神医学学术会议论文汇编[C].中华医学会(Chinese Medical Association)、中华医学会精神医学分会(Chinese Society of Psychiatry):2015:2.
[12] 刘洋.新型抗抑郁药和第二代抗精神病药的相互影响[D].重庆:重庆医科大学,2015.
[13] 吴启姣,黎丽燕,胡小娟,等.Liberman技术训练对慢性精神分裂症患者康复的影响[J].现代医院,2016,16(7):981-982,986.
[14] 陈雪玲,袁青,胡桂娟,等.针刺治疗精神分裂症取穴规律探究[J].江苏中医药,2019,51(5):72-75.
[15] 李世安,彭恒州,张新斐,等.穴位埋线治疗精神分裂症52例[J].上海针灸杂志,2015,5:452-453.
[16] 马婉.精神症状评定量表的信效度再检验及临床应用优势[D].杭州:浙江大学,2015.
[17] Poletti B,Carelli L,Faini A,et al. The Arrows and Colors Cognitive Test(ACCT):A new verbal-motor free cognitive measure for executive functions in ALS [J]. PloS One,2018,13(8):e0200953.
[18] 郭贵云.住院慢性精神分裂症社会功能评定量表的信度和效度检验[J].中华神经精神科杂志,1995,1:16-18.
[19] 潘琳琳,王玉凤,金坤,等.张志远治疗精神分裂症经验[J].中医杂志,2019,60(1):14-16,19.
[20] 丁德正,张锡纯“癫狂之证,乃痰火上泛”探析[J].中国中医基础医学杂志,2019,25(2):154-155.
[21] 孙咏虹,吴冰洁.丰富康复训练与神经可塑性[J].中国康复理论与实践,2010,16(7):635-637.
[22] 季力,崔晓.丰富环境对脑神经可塑性的影响[J].神经病学与神经康复学杂志,2013,2:99-101.
[23] 张馨予,杜小正,何文洁,等.电针刺激对神经可塑性的影响[J].神经解剖学杂志,2020,36(2):211-214.
[24] 张长春.帕利哌酮与利培酮治疗精神分裂症效果及对社会功能影响比较[J].临床合理用药杂志,2020,13(2):39-40.
[25] 朱永,刘颖.利培酮联合丁螺环酮治疗首发精神分裂症对认知功能的影响[J].中国现代医生,2020,58(24):85-87.
[26] 周亚楠,翟金国,陈敏.首发精神分裂症精神病未治期对认知功能和社会功能的影响[J].中国神经精神疾病杂志,2018,44(1):38-43.
[27] 程诚,王毅.精神分裂症社会功能的非药物干预方式[J].中国健康心理学杂志,2020,28(2):312-316.
[28] Ursu S,Kring AM,Gard MG,et al. Prefrontal cortical deficits and impaired congnition-emotion interactions in schizophrenia [J]. Am J Psychiatry,2011,168(3):276-285.
[29] 魏书珍,衣明纪.儿童行为抑制测验及行为训练[J].中国儿童保健杂志,2020,28(5):493-496. |
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