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Cognitive behavior therapy improves social functions of ultra -high -risk groups

May 05:30, May 08, 2020 Source: "China Social Sciences", May 8, 2020, No. 1921 Author: He Juan Chen Rui

　　Schizophrenia is a serious mental disorder，will cause hallucinations、delusion、Extremely disordered thinking and behavior，Not only damage daily function，It may still be disabled。Research Discovery，Early intervention treatment can help patients control symptoms before the occurrence of severe complications，The probability of reducing the transformation into schizophrenia and improving its social functions。

　　Although there are certain controversy in the clinical installment of schizophrenia，But the academic community generally believes that there is about 1-5 years before the first attack of schizophrenia.。During this period, patients usually experience some decline in attention、Sleep disorders、Sleep disorders、anxiety、social retreat、Non -specific symptoms such as irritability。At present, structural interviews (SIPS)、Comprehensive evaluation of dangerous mental state (caarms)、Bonien Basic Symptoms Table (BSABS) and other tools to identify the symptoms of the front -wheel drive period，The groups that meet these symptoms are clinically called ultra -high -risk people。Bonoldi and others a meta -analysis indicator，The risk of transforming the transformed into schizophrenia of super high -risk people is 18%after 6 months，22%after a year，36%after three years。

　　The main intervention Bet365 lotto review methods currently targeted at the front -drive period of psychiatric splitting include drug treatment and psychological intervention。But there is a fake positive due to schizophrenia，Super high -risk groups are not real schizophrenia patients。So，In the absence of the lack of developing into a psychiatric reliability mark，Drug treatment not only has ethical dilemma，It will also face a series of weight gain、Metabolic syndrome and other drug side effects。Psychological intervention mainly uses cognitive behavior therapy (CBT)，This therapy focuses on individual thoughts、How do faith and attitude affect their feelings and behavior，It is confirmed that the attack that can be delayed or even blocks schizophrenia and basically has no side effects，Therefore, it is recommended by the international clinical guidelines as the preferred choice for the treatment of ultra -high -risk people。

　　Reduce the conversion rate of schizophrenia

　　Early identification and intervention evaluation research (EDID) organized by Morrison, the University of Manchester, England is the first test to prevent psychiatric development with cognitive behavior therapy。In this study，60 ultra -high -risk tests are randomly divided into cognitive behavioral therapy group (n = 37) and control group (n = 23)。The experimental group provides a 6 -month psychological intervention and accepts follow -up，The control group only accepts monthly follow -up。12 months later，Logistic regression analysis of the patient measurement Bet365 app download data is found，Cognitive behavioral therapy has a significant main effect (the conversion rate is 6%and 22%, respectively)。I adjust the age、Gender、Family History and Base Line Positive and negative syndrome meter (PansS) scores (Pans)，Cognitive behavioral therapy group compared to participants who have been followed alone，The probability of conversion has also been reduced by 96%。Learning analysis display，In 12 months，Psychological intervention significantly improves the positive symptoms of the subject。This research also conducted a three -year tracking survey of the participants，The purpose is to determine whether cognitive behavior treatment has a long -term effect on reducing the incidence of schizophrenia。Exploratory analysis display，After controlling the cognitive factors of the baseline，The probability of receiving anti -psychiatric drugs by receiving anti -psychiatric drugs is 87%lower than those who have received follow -up，At the same time, it also reduces the possibility of transforming into schizophrenia。

　　The cognitive therapy used in this test is based on verified psychiatric cognitive models。This therapy follows the structure and principles of cognitive therapy，Problem -oriented，There is a time limit，Emphasis on collaboration、Family assignment and guidance discovery。The therapist and the patient formulate a list of goals，and according to the different thinking and behavioral characteristics of individuals、Family History and Behavior bet365 live casino games Experimental data Select different cognitive models for intervention。

　　Another study of the therapy of cognitive behavior intervention intervention of schizophrenia.。The team recruited the 201 of the helper of mental health services，Among them, 97 people were randomly assigned to the experimental group for receiving cognitive behavior treatment plus conventional treatment，104 people only receive conventional treatment。Cognitive behavior treatment provides 6 months，The follow -up period is 18 months。Under the intervention of cognitive behavior therapy，10 patients become schizophrenia，under conventional treatment conditions，22 patients transformed into schizophrenia。In the 18 -month follow -up，The cognitive behavior treatment group is more obvious from high -risk mental state to alleviate。Perform participants for long -term cost -effect assessment discovery after 4 years at the baseline assessment，Under the condition of cognitive behavior treatment plus conventional treatment conditions，significantly reduced the risk of transforming into schizophrenia，and can get higher life quality at a lower cost。Domestic scholar Sun Xirong and others made similar intervention on the high -risk people of schizophrenia，The result of the consistency with the above research。

　　Social functions of improving the high -risk population

　　Social dysfunction is a iconic symptom of schizophrenia，In the front -wheel drive period, it is generally common and no response to drug treatment。CORCARAN and others compared 56 clinical psychiatric high-risk youth and 22 bet365 Play online games health controller in the social adaptation list-SAS-SR) social function scores，It is found that the former's social function is obviously damaged，In individuals with high psychiatric risks，Emotional changes may be related to the loss of social interaction and the loss of social behavior enhancement。Andreas (Andreas) uses non -comparison forward -looking design，Exploring the symptoms of cognitive behavior therapy intervention of schizophrenia before -driven symptoms。In this study，12 subjects in the pre -drive period of schizophrenia accepted a 12 -month comprehensive cognitive behavior treatment。The target of the cognitive behavior therapy includes: improving the current front -drive symptoms、Prevent social functional recession/stagnation，and prevent or delay the development into mental illness。Every treatment follows a detailed solution，Among them, the treatment purpose、A model response of intervention instances and the therapist。After the treatment is completed，Symptoms and social adaptation of the subjects have significantly improved。Specific performance in，The general psychiatry and basic symptoms of patients are significantly reduced，Measurement of the Moncore Depression Assessment (MADRS) measurement，The degree of depression of the participants from moderate improvement to no longer has clinical significance，Anxious emotions have also improved significantly，Social adaptation from severe damage to mild damage。

　　Han Haibin and others randomly divided 60 schizophrenia and high -risk groups bet365 best casino games into research groups (n = 30) and control groups (n = 30)，The research group conducted a 24 -week cognitive behavior treatment，The control group only receives general health guidance。All participants accepted 5 individuals and social function tables (PSP) and positive and negative syndrome meter (Pans) before and after intervention。Research results show，After psychological intervention treatment of patients with schizophrenia, psychological intervention treatment，The PSP score of the research group is significantly higher than before the intervention，and all higher than the subjects of the control group during the same period。This indicates that cognitive behavior intervention treatment can improve the social function of the super high -risk population of schizophrenia，The improvement effect is obviously better than general health guidance。

　　Early use cognitive behavior therapy in schizophrenia for intervention，It will be an effective and safer choice for development of preventive intervention measures。other，Usually functional declines in ultra -high -risk people，Even fake positive can benefit from cognitive behavior therapy，To improve its stress and related symptoms。

　　(Author Unit: Department of Education, Education, Yunnan Normal University)

Editor in charge: Changchang