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目的:探讨心理控制源和健康行为训练对青少年精神分裂症患者人格形成作用的影响。方法:对首次发病、经住院治疗病情缓解的37例14~18岁首发精神分裂患者随机分为两组,研究组(20例)痊愈期在抗精神病药治疗的基础上,合并每月1次的心理控制源和健康行为训练;对照组(17例)痊愈期患者每月进行1次一般性随访,随访2年。在入组时、出院12个月和24个月时进行控制源水平、健康行为和生活满意度的评定。结果:2年末,研究组患者的内控水平、健康行为、生活满意度均高于对照组(P<0.01)。结论:对青少年精神分裂症患者进行心理控制源和健康行为训练可改善其适应不良行为,能降低复发率,提高患者的服药依从性和生活满意度,减少和预防人格改变,对人格形成具有积极作用。
Objective: To explore the impact of mental control source and healthy behavioral training on the personality formation of schizophrenia in adolescents. Methods: Thirty-seven first-episode schizophrenia patients aged 14-18 were randomly divided into two groups. The study group (20 cases) recovered on the basis of antipsychotic treatment, and once a month The control group (17 cases) were treated with general follow-up once a month for 2 years. At admission, assessments of control source, health behavior and life satisfaction were made at 12 months and 24 months after discharge. Results: At the end of the two years, the study group’s internal control level, health behavior and life satisfaction were higher than the control group (P <0.01). Conclusion: Psychological control of source and health behavior training for schizophrenia in adolescents can improve their maladaptive behaviors, reduce the recurrence rate, improve their medication compliance and life satisfaction, reduce and prevent personality changes, and have a positive effect on personality formation effect.