101. 精神分裂症患者亲属焦虑及防御机制的 团体干预随机对照试验.
- Author
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于妍, 杜启峰, 张岱威, and 曾海萍
- Abstract
Objective: To explore the effect of group psychological crisis intervention on the defense mechanism and anxiety of the first-degree relatives of patients with the first-episode schizophrenia Methods: Totally 245 first-degree relatives of patients with first episode schizophrenia who met the diagnostic criteria of ICD-10 were enrolled and randomly divided into the intervention group ( 127 cases) and the non-intervention group ( 118 cases) . The informed consent for all participants were obtained. The intervention group received group psychological crisis intervention for 4 weeks. The Defense Style Questionnaire (DSQ) and Hamilton Anxiety Scale (RAMA) were used to evaluate the type and the degree of defense mechanism as well as anxiety level in the two groups before and after the intervention, respectively. Results: There was no significant difference in both DSQ and HAMA scores within the two groups at baseline (Ps > 0.05) . After 4 weeks, the scores of mature defense mechanism in DSQ in the intervention group increased [ ( 38. 0 ± 15.7) vs. ( 32.3 ± 11.9)], and both immature defense mechanism scores [ (94.5 ± 24.0) vs. ( 108.4 ± 32.5)] and intermediate defense mechanism scores [ ( 160.4 ± 48.8) vs. ( 177.5 ± 55.4) ] decreased compared with the baseline ( Ps < 0.05). The DSQ scores of the non-intervention group showed no significant difference between The scores of each defense mechanism and 1hose in the baseline ( Ps > 0. 05) . RAMA score difference [ ( 6.1 ± L 3) vs. ( 4.0 ± 0.9)] and response rate( 66. 1 % vs. 45. 8 % ) were both higher in intervention group than in non-intervention group ( P < 0. 001). Conclusion: It suggests that group psychological crisis intervention could improve the defense mechanism of the first -degree relatives of patients with first episode schizophrenia, through increasing the application of mature defense mechanism, and significantly improve anxiety. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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