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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

心理咨询理论与实践 / 2020,2(1)：19-31 / 2020-01-08 4493 7633

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• 作者： 秦玄     
• 单位：

  上海交通大学医学院附属精神卫生中心，上海

• 关键词： 认知行为治疗；精神分裂症；住院患者；青少年；个案报告
• Cognitive behavioral therapy; Schizophrenia; hospitalized patients; Adolescent; Case study
• 摘要： 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。
• 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.
• DOI： https://doi.org/10.35534/tppc.0201002
• 引用： 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