약물저항성 조현병 환자에서 인지행동치료의 효과

• 영문명: The Effect of Cognitive Behavioral Therapy in Drug-Resistant Patients with Schizophrenia
• 발행기관: 대한신경정신의학회
• 저자명: 이동은 이화정 윤옥심 최인영 조정배 강광주 문난영 박성혁
• 간행물 정보: 『신경정신의학』제52권 제1호, 26~32쪽, 전체 7쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2013.01.31

영문 초록

ObjectivesZZCognitive 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. MethodsZZPatients 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. ResultsZZNo 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. ConclusionZZDespite 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

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키워드

Schizophrenia Cognitive behavioral therapy Drug resistant patient K-PSYRATS (Korean-Psychotic Symptom Rating Scale) SUMD-K (The Scale to assessment Unawareness of Mental Disorder-Korean version)