臺灣博碩士論文加值系統

本研究旨在探討社區復健中心之精神分裂症認知行為團體對於分裂病患精神症狀改變之效果。本研究採準實驗等組前後測設計，以南部某教學醫院之社區復健中心為研究對象，患者係由該復健中心轉介之DSM-IV精神分裂症病患共18名，並分為控制組與實驗組各9名，兩組均接受社區復健中心標準的介入。本研究樣本接受認知行為治療團體每週一次，每次1.5小時，共計12次，控制組則不接受任何實驗處理，但應加一般常規社區復健。
研究者以「活性及負性症狀評估量表」、「貝克憂鬱量表」及「貝克焦慮量表」為研究工具，對實驗組與控制組進行前、後測，所得資料進行共變數分析（ANCOVA）。研究者也根據團體過程與訪談資料進行分析，進而對認知行為團體方案之實施成效佐證。
本研究的重要發現如下：
一、實驗組成員在「活性及負性症狀評估量表」總量表之後測得分，顯著低於控制組。
二、實驗組成員在活性及負性症狀評估的『負性量尺』分量表之後測得分，顯著低於控制組。
三、實驗組成員在活性及負性症狀評估的『一般精神病量尺』分量表之後測得分，顯著低於控制組。
四、實驗組成員在活性及負性症狀評估的『貝克憂慮量表』分量表之後測得分，顯著低於控制組。
五、從成員的訪談資料得知，認知行為治療團體對成員具有正向的治療效果，成員對該團體抱持滿意的態度，並獲得多數成員之肯定，認為認知行為治療對提升成員之人際關係有所助益。

最後，根據研究結果加以討論，並參酌研究者在研究過程中的經驗，提出具體建議，以供實務工作者及未來相關研究之參考。

The purpose of this study was to investigate the effectiveness of CBT group psychotherapy for schizophrenics in a Rehabilitation Community Center. The study adopted a pre-test and post-test experimental design. Eighteen schizophrenics in the Rehabilitation Community Center of Kaohsiung Medical University Chung-Ho Memorial Hospital were invited to participate the study. They were assigned into the experiment and control groups with 9 participants, respectively. The standard intervention was provided to members in both groups, while the patients in the experimental group received another 12 weekly CBT group psychotherapy, 120 minutes in each session.
The research tools used in this study were “Positive and Negative Syndrome Scale”, “Beck Depression Inventory” and “Beck Anxiety Inventory”. Pre-test and post-test data from both groups were collected and analyzed with ANCOVA. Furthermore, the group process records, interview data and feedback by the patients were analyzed to evidence the effectiveness of CBT group psychotherapy.
The major findings of this study were as follows:
1.The scores of the “Positive and Negative Syndrome Scale” in experimental group were significantly lower than those in the control group.
2.The scores of “Negative scales” in the experimental group were significantly lower than those in the control group.
3.The scores of “General Psychopathology” in experimental group were significantly lower than those in the control group.
4.The scores of “Beck Depression Inventory” in experimental group were significantly lower than those in the control group.
5.Qualitative analysis indicated that participants were satisfied with positive effects brought by CBT group psychotherapy and believed it could help to improve their interpersonal relationship.
With abovementioned findings, the study would provide further concrete suggestions as a reference for counseling practice and further research.

第一章 緒論
第一節 研究動機與目的…………………………………………1
第二節 研究問題與假設…………………………………………3
第三節 名詞解釋…………………………………………………5

第二章 文獻探討
第一節 精神分裂病的徵候及相關研究…………………………8
第二節 認知行為團體治療理論與運用………………….…….14
第三節 精神分裂症認知行為團體治療之相關研究…………..19

第三章 研究方法
第一節 研究設計………………………………………………..31
第二節 研究對象………………………………………………..33
第三節 研究工具及信效度檢定………………………………..36
第四節 認知行為團體方案…………………………………....39
第五節 研究程序………………………………………………..45
第六節 資料處理………………………………………………..47

第四章 結果與討論
第一節 研究樣本群基本資料描述……………………………49
第二節 認知行為團體治療的療效統計分析結果與討論...…52
第三節 認知行為治療團體治療的質化分析…………………61

第五章 結論與建議
第一節 研究結論………………………………………………83
第二節 研究限制………………………………………………84
第三節 建議……………………………………………………85

參考文獻
中文部分　……………………………………………………….87
英文部分　……………………………………………………….88


附錄
附件一　同意臨床試驗證明書…………………………………89
附件二　認知行為治療團體課程同意書………………………90
附件三 認知行為治療團體課程規則……………….…....91
附件四　活性與負性症狀評量表（PANSS）…………………93
附件五 療效訪談大綱…………………………………………94

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