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目的:探讨表达性心理治疗对慢性精神分裂症住院患者负性情绪的改善作用。方法:选取北京回龙观医院2017年8月至2018年8月诊治的慢性精神分裂症住院患者116例，随机分为观察组和对照组，每组58例。对照组患者予以常规药物治疗，观察组在对照组基础上予以表达性心理治疗，观察比较两组患者治疗后的负性情绪改善情况。结果:治疗前两组患者阳性阴性症状量表(PANSS)得分比较差异无统计学意义。治疗12 w后观察组与对照组PANSS量表得分，均较治疗前有明显改善，差异有统计学意义(n P<0.05)，且观察组得分明显低于对照组，差异有统计学意义(n P<0.05)；治疗前两组患者自卑感量表(FIS)量表得分比较差异无统计学意义，治疗12 w后观察组与对照组FIS量表得分均较治疗前有明显改善，差异有统计学意义(n P<0.05)，且观察组得分明显低于对照组，差异有统计学意义(n P<0.05)；治疗前两组患者焦虑症状汉密尔顿焦虑量表(HAMA)得分比较差异无统计学意义。治疗12 w后观察组与对照组HAMA得分均较于治疗前有明显改善，差异有统计学意义(n P<0.05)，且观察组得分明显低于对照组，差异有统计学意义(n P<0.05)。n 结论:表达性心理治疗对于慢性精神分裂症住院患者的自卑、焦虑、抑郁等负性情绪具有明显的改善作用，改善患者身心健康。“,”Objective:To explore the effect of expressive psychotherapy on negative emotions of inpatients with chronic schizophrenia.Methods:A total of 116 hospitalized patients with chronic schizophrenia treated in the hospital from August 2017 to August 2018 were selected and randomly divided into observation group and control group, with 58 patients in each group.The patients in the control group were given conventional drug therapy, and the patients in the observation group were given expressive psychotherapy on the basis of the control group. The improvement of negative mood after treatment was observed and compared between the two groups.Results:There was no significant difference in Positive and Negative Syndrome Scale(PANSS) score between the two groups before treatment.After 12 weeks of treatment, the PANSS scale scores of the observation group and the control group were significantly improved compared with those before treatment, and the difference was statistically significant(n P<0.05), and the score of the observation group was significantly lower than that of the control group, the difference was statistically significant(n P<0.05). There was no significant difference in the Feelings Inadequacy Scale(FIS) score between the two groups before treatment.After 12 weeks of treatment, FIS scale scores of the observation group and the control group were significantly improved compared with those before treatment, and the difference was statistically significant(n P<0.05), and the score of the observation group was significantly lower than that of the control group, the difference was statistically significant(n P<0.05). There was no statistically significant difference in Hamilton Anxiety Scale(HAMA) scores of anxiety symptoms between the two groups before treatment.After 12 weeks of treatment, HAMA scores of the observation group and the control group were significantly improved compared with those before treatment, and the difference was statistically significant(n P<0.05), and the score of the observation group was significantly lower than that of the control group, the difference was statistically significant(n P<0.05).n Conclusions:Expressive psychotherapy can significantly improve the negative emotions of inpatients with chronic schizophrenia, such as inferiority, anxiety and depression.It can restore the physical and mental health of patients to normal.