Li, L., Shi, J., Jia, Y., Ren, Z., Cao, Q., Wang, L., Li, M., & Wang, B. (2019). Effect of Acceptance and Commitment Therapy (ACT) on stigma and self-efficacy in patients with schizophrenia during rehabilitation. World Latest Medicine Information, 20, 57-58. https://doi.org/10.19613/j.cnki.1671-3141.2019.20.025
目的探讨接纳承诺疗法团体干预对精神分裂症康复期患者病耻感以及自我效能感的影响。方法将精神分裂症康复期患者随机分为接纳承诺疗法干预组（31例）和对照组（30例）。干预组每周进行2次接纳承诺疗法团体干预,每次90min,持续5周,共10次;对照组给予常规心理教育。干预前、后分别对两组进行精神疾病患者病耻感量表中文版（SSMI-C）、阳性与阴性症状量表（PANSS）、一般自我效能感量表（GSES）和接纳与行动问卷第二版（AAQ-Ⅱ）评定,了解疗法对患者病耻感和自我效能感的影响。结果两组在SSMI-C（t=-6.144,P＜0.01）、GSES（t=5.86,P＜0.01）、AAQ-Ⅱ（t=-5.518,P＜0.01）和CPQ（t=-5.632,P＜0.01）前后测得分差值上存在显著差异。结论接纳承诺疗法能够有效改善精神分裂症康复期患者病耻感,提高患者自我效能感。
Objective: To explore the effect of receptivity-commitment therapy group intervention on stigma and self-efficacy in patients recovering from schizophrenia.
Methods: Patients convalescent from schizophrenia were randomly divided into the intervention group (31 cases) and the control group (30 cases). The intervention group conducted 2 group interventions per week for 90 minutes for 5 weeks, for a total of 10 interventions; The control group was given routine psychoeducation. Before and after the intervention, the two groups were evaluated on the Stigma Scale Chinese (SSMI-C), Positive and Negative Symptom Scale (PANSS), General Self-Efficacy Scale (GSES) and Acceptance and Action Questionnaire Second Edition (AAQ-II.) to understand the impact of therapy on patients' stigma and self-efficacy.
Results: There were significant differences between the two groups in the scores before and after SSMI-C (t=-6.144, P<0.01), GSES (t=5.86, P<0.01), AAQ-II. (t=-5.518, P<0.01) and CPQ (t=-5.632, P<0.01).
Conclusions: Acceptance commitment therapy can effectively improve the stigma and self-efficacy of patients recovering from schizophrenia.
https://doi.org/10.19613/j.cnki.1671-3141.2019.20.025