Effect of cognitive behavior intervention on patients with first - episode schizophrenia

doi:10.3969/j.issn.1006-7256.2015.09.015

Abstract：Objective:To investigate the effect of cognitive behavior intervention on the rehabilitation and medication compliance of pa-tients with first - episode schizophrenia. Methods:120 patients with first - episode schizophrenia were randomly divided into the study group and the control group(60 cases in each group). The patients in both groups received the conventional treatment with antipsychotic drugs and nursing care,in addition the patients in the study group were given cognitive behavior intervention and the patients in the control group only received routine health education and rehabilitation activities. The self - designed evaluation form of patient's cognition and atti-tude towards medication and the Brief Psychiatric Rating Scale(BPRS)were used to evaluate the patient's rehabilitation and the medica-tion compliance before the intervention and at the end of 6th week after the intervention. Results:After 8 weeks of treatment,the medication compliance and attitude towards medication of the patients obviously improved in the study group,compared with the control group(P < 0. 01);the total score of BPRS and the score of each factor was significantly lower in the study group than the control group(P < 0. 01). Conclusion:The implementation of cognitive behavior intervention for patients with first - episode schizophrenia can help them have a better understanding of the disease and improve their medication compliance and conditions,it has the significance in the prevention of recurrence of the disease and reducing the frequency of hospitalization.