代币强化行为疗法对社区女性精神病人的康复研究

The Effects of Token Therapy on the Rehabilitation of the Female Schizophrenic Patients in the Community

摘要: 目的：研究代币强化行为疗法对社区女性精神病人的康复作用。方法：把100例女性精神病康复病人随机分为研究组和对照组，对研究组病人的良性行为采用“代币法”进行阳性强化训练和行为塑造，与对照组作比较，以精神病人护士观察量表(NOSIE)、精神病人康复疗效评定量表(IPROS)来评价强化的效果。结果：代币强化行为疗法对减少女性病人的病态体验、克服焦虑、抑郁、恐惧情绪，改善和强化病人适应环境的能力，恢复和重建人际交往有良好的作用。结论：代币强化行为疗法能塑造女性病人良性行为，促进病人早日康复，回归社区、回归家庭。利用有限的卫生资源，达到最大可能的社区功能水平。

Abstract: Objective: To investigate the effects of token therapy on the rehabilitation of the female schizoph-renic patients in the community. Methods: 100 female patients with schizophrenia were randomly divided into the research group and the control group (n = 50, per group). The benign behavior adopted the positive intensive training and the behavior shaping with token therapy in patients of the study group. Compared with the control group, the strengthening effects were evaluated by the Nurses' Observation Scale for Inpatient Evaluation (NOSIE) and the Impatient Psychiatric Rehabil-itation Outcome Scale (IPROS). Results: Token therapy can reduce the pathological experience, overcome anxiety, depression and fear, improve and enhance the adaptive capacity of environment in the female schizophrenic patients. It also has a good effect in the recovery and reconstruction of interpersonal communication. Conclusions: Token therapy can shape benign behavior, facilitate the patients to recover and return the community and home. The optimal social functions of community could be developed by making full use of the limited sanitary resource in the female schizophrenic patients.