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一例住院青少年精神分裂症的认知行为治疗

A Case Report of Cognitive Behavioral Therapy in a Hospitalized Adolescent with Schizophrenia

Theory and Practice of Psychological Counseling / 2020,2(1): 19-31 / 2020-01-08 4936 7793

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• Authors: 秦玄
• Information:

  上海交通大学医学院附属精神卫生中心，上海

• Keywords:
  Cognitive behavioral therapy; Schizophrenia; hospitalized patients; Adolescent; Case study
  认知行为治疗; 精神分裂症; 住院患者; 青少年; 个案报告
• Abstract: Cognitive behavioral therapy (CBT) is an effective treatment in adult patients with schizophrenia. However, adolescents with early-onset psychosis may be particularly in need of multimodal intervention. A case of hospitalized patient with early-onset psychosis was presented and comprehensive treatment programs were provided in an inpatient Settings, showing cognitive and behavioral interventions for symptoms and work with families to promote self-esteem and emotional identity. Results demonstrated that the patients' symptoms were under control and CBT helped to correct schemata-linked habitual reaction patterns in thinking and behavior through belief examination and prediction. The patients' cognitive, emotional, self- esteem and family relationships were improved. In conclusion, it is feasible to carry out CBT therapy and family intervention for hospitalized adolescent patients with schizophrenia. 认知行为疗法（CBT）是治疗成人精神分裂症的有效方法，而青少年 患者可能特别需要多模式的干预。本文介绍了一例青少年精神分裂症的住院认 知行为治疗过程，在住院设置中为其提供综合性的治疗方案，针对症状开展认 知和行为的干预，并联合家庭促进自尊和情感认同。结果显示患者的症状得到 控制，能够运用 CBT 技术检查和监控思维和行为中与图式相关的习惯性反应模 式，减少了消极的自我评价，情绪状态和家庭关系也得到一定改善。本研究提 示在常规治疗基础上，对住院青少年精神分裂症患者开展 CBT 治疗和家庭干预 具有可行性。
• DOI: https://doi.org/10.35534/tppc.0201002
• Cite: 秦玄．一例住院青少年精神分裂症的认知行为治疗［J］．心理咨询理论与实践，2020，2（1）：19-31．
  https://doi.org/10.35534/tppc.0201002