Journal of Capital Medical University ›› 2023, Vol. 44 ›› Issue (5): 859-864.doi: 10.3969/j.issn.1006-7795.2023.05.022

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The effects of comprehensive psychological intervention on executive and social functioning in stable schizophrenic patients

Zhang Ying, Wang Ruomei, Li Gang*, Li Lusha   

  1. Phychiatry Department, Tianjin Anding Hospital, Tianjin 300222, China
  • Received:2023-04-26 Online:2023-10-20 Published:2023-10-26

Abstract: Objective  To explore the effect of comprehensive psychological intervention on improving executive and social functioning in patients with stable schizophrenia. Methods  Eighty patients with stable schizophrenia were included and randomly divided into 2 groups. The experimental group received comprehensive psychological intervention. The control group received only general medication provided by the hospital and routine psychological-related knowledge education. Symptom severity, executive functioning, and social functioning were assessed at baseline, and at the end of the intervention (week 12). Results  After 12 weeks of intervention, the total score, negative scale, and general psychopathology scale scores of Positive and Negative Syndrome Scale(PANSS) in the experimental group were lower than those in the control group(P<0.05). The numbers of Rpe and nRpe in Wisconsin Card Sorting Test (WCST) were lower than that in the control group(P<0.05). The reaction times of TMT-A and B were lower than that of the control group(P<0.05). The time consumption, stroop interference effect(SIE) time consumption, and SIE accuracy of cards A, B, and C in Stroop Color Word Test (CWT) were lower than those in the control group(P<0.05), while the accuracy of cards A, B, and C were higher than that in the control group(P<0.05). The score of Personal and Social Performance Scale(PSP) was higher than that of the control group(P<0.05). Conclusions  Comprehensive psychological intervention can help reduce negative symptoms, improve executive functioning, and enhance social functioning in patients with stable schizophrenia.

Key words: comprehensive psychological interventions, schizophrenia, executive function, social function

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