基于正念的小组治疗用于精神分裂症听觉幻觉管理:一个随机对照试验
Shuixian Yang1, Wenqing Zhou1, Yingying Qin2
1The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China.
Journal of psychiatric research
|February 12, 2026
概括
基于正念的听觉幻觉管理 (MBAHM) 在精神分裂症患者中显著减少了听觉幻觉,焦虑和抑郁. 这种方法也改善了他们的生活质量,提供了一个有前途的补充治疗.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 听觉幻觉是50-70%的精神分裂症患者的主要症状,严重影响生活质量.
- 目前用于治疗精神分裂症的多式疗法在治疗听觉幻觉方面有效性有限.
研究的目的:
- 评估基于正念的听觉幻觉管理 (MBAHM) 对精神分裂症患者的听觉幻觉,焦虑,抑郁和生活质量的有效性.
- 确定MBAHM是否可以作为精神分裂症症状管理的可行补充疗法.
主要方法:
- 一项随机对照试验,涉及80名精神分裂症患者,分为MBAHM组 (n=40) 或对照组 (n=40).
- 该MBAHM组接受了为期8周的干预 (2小时,每周两次),而对照组接受了例行护理.
- 评估包括听觉幻觉,焦虑,抑郁和生活质量在基线和干预后.
主要成果:
- 与基线和对照组相比,MBAHM组在听觉幻觉,焦虑和抑郁症中显示出统计学上显著的减少 (p < 0.001).
- 在MBAHM组中观察到生活质量的显著改善.
- 相关性分析显示,减少幻觉严重程度,减少焦虑和抑郁,提高生活质量之间存在关联.
结论:
- 基于正念的听觉幻觉管理 (MBAHM) 显示出作为精神分裂症有效的补充治疗的潜力.
- 在精神分裂症患者中,MBAHM可能会改善整体幸福感,并减少听觉幻觉,焦虑和抑郁等核心症状.
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