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目的：探讨团体心理辅导对精神分裂症患者阳性与阴性症状的影响。方法将40例精神分裂症患者根据自愿参与原则分为两组，研究组10例，对照组30例，均予以精神科常规治疗及护理，研究组联合团体心理辅导，观察1个月。治疗后采用阳性与阴性症状量表评定临床效果。结果治疗前后研究组阳性症状评分差值＞中位数（11分）的比例显著高于对照组（P ＜0．05），阴性症状评分差值＞中位数（12分）的比例与对照组比较差异无显著性（P ＞0．05）。结论团体心理辅导对改善精神分裂症患者的阳性症状效果更显著。“,”Objective To explore the effect of group counseling on positive and negative symptoms of schizophrenic .Methods Forty schizophrenics were divided into research (n = 10 ) and control group (n = 40) according to voluntary participation principle , both groups received routine psychiatric treatment and nursing ,and research group was plus group counseling for 1 month .Efficacies were assessed with the Positive and Negative Syndrome Scale (PANSS) after treat‐ment .Results D value of positive symptom score > median (11) was significantly lower in research than in control group after treatment (Pmedian (12) (P > 0 .05) .Conclusion Group counseling could improve the positive symptoms of schizo‐phrenic notably .