Psychosocial Rehabilitation Training in the Treatment of Schizophrenia Outpatients: A Randomized, Psychosocial Rehabilitation training-and Monomedication-Controlled Study

精神分裂症门诊患者心理社会康复训练治疗中的应用:一项随机、心理社会康复训练与单药治疗对照研究

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Abstract

OBJECTIVE: This study was designed to evaluate the efficacy of psychosocial rehabilitation intervention on schizophrenia. METHODOLOGY: One hundred forty schizophrenia outpatients in remission stage were randomized to either an antipsychotic monomedication (control group) or an antipsychotic monomedication plus a psychosocial rehabitation training (trial group). Positive and Negative syndrome Scale (PANSS), Disability Screening Schedule (SDSS) were performed longitudinally from baseline to month 18 to evaluate the efficacy. RESULTS: Significant difference in relapse rate between the control group (42.9%) and the trial group (18.6%) was found at month 18. In patients who didn't relapse, the trial group showed significantly lower PANSS and SDSS score (P<0.05) than did the control group after treatment. CONCLUSION: Psychosocial rehabilitation intervention could produce a better outcome in terms of reducing relapse and improving the social functioning in schizophrenia.

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