The impact of art therapy-based emotional connection patterns on rehabilitation and quality of life in patients with chronic schizophrenia
基于绘画疗法的情感连接模式对慢性精神分裂症患者康复效果和生活质量的影响

摘要

目的 探讨基于绘画疗法的情感连接模式对改善慢性精神分裂症患者阴性症状、社会功能、情感表达能力及提升其生活质量的临床效果。方法 选取2023年2月至2024年2月某市精神卫生中心康复科的86例慢性精神分裂症患者作为研究对象，采用随机数字表法分为对照组（n=43）和观察组（n=43）。对照组实施常规康复训练，观察组在常规基础上接受为期12周的“基于绘画疗法的情感连接模式”团体干预。于干预前、干预后采用阳性与阴性症状量表（PANSS）阴性症状分量表、个人与社会功能量表（PSP）、多伦多述情障碍量表（TAS-20）及世界卫生组织生存质量测定简表（WHOQOL-BREF）进行效果评估。结果 干预12周后，观察组PANSS阴性症状评分、TAS-20总分及各因子分均显著低于对照组（P<0.01），PSP评分、WHOQOL-BREF的心理、社会关系和环境领域评分均显著高于对照组（P<0.01）。结论 基于绘画疗法的情感连接模式能有效缓解慢性精神分裂症患者的阴性症状，减轻述情障碍程度，增强其社会功能，并全面提升其主观生活质量，是一种行之有效的心理社会康复干预手段，具有较高的临床推广价值。

Abstract

Objective To explore the clinical effect of an emotion connection model based on painting therapy on improving negative symptoms, social function, emotional expression ability, and quality of life in patients with chronic schizophrenia.
Methods A total of 86 patients with chronic schizophrenia from the Rehabilitation Department of a city mental health center were selected as the study subjects between February 2023 and February 2024. They were randomly divided into a control group (n=43) and an observation group (n=43) using a random number table method. The control group received conventional rehabilitation training, while the observation group received a 12-week group intervention based on the "Emotion Connection Model via Painting Therapy" in addition to the conventional training. Assessments were conducted before and after the intervention using the Positive and Negative Syndrome Scale (PANSS) negative subscale, Personal and Social Performance Scale (PSP), Toronto Alexithymia Scale (TAS-20), and the World Health Organization Quality of Life Brief Scale (WHOQOL-BREF).
Results After 12 weeks of intervention, the observation group showed significantly lower PANSS negative symptom scores and TAS-20 total and subscale scores compared to the control group (P<0.01). Meanwhile, the PSP scores and the psychological, social relationship, and environmental domain scores of the WHOQOL-BREF were significantly higher in the observation group than in the control group (P<0.01).
Conclusion   The emotion connection model based on painting therapy can effectively alleviate negative symptoms, reduce the degree of alexithymia, enhance social function, and comprehensively improve the subjective quality of life in patients with chronic schizophrenia. It is an effective psychosocial rehabilitation intervention with high clinical promotion value.