精神分裂症认知行为治疗

注册号:

Registration number:

ChiCTR-TRC-08000124 

最近更新日期:

Date of Last Refreshed on:

2015-05-05 19:04:27 

注册时间:

Date of Registration:

2008-07-15 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

精神分裂症认知行为治疗

Public title:

A randomized controlled trial of cognitive-Behavioral therapy for schizophrenia

注册题目简写:

English Acronym:

研究课题的正式科学名称:

精神分裂症患者认知特点及认知行为治疗效能研究

Scientific title:

The research about efficacy of Cognitive-Behavioral therapy for schizophrenia

研究课题代号(代码):

Study subject ID:

D0906001040391

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

徐子燕 

研究负责人:

李占江 

Applicant:

Ziyan Xu 

Study leader:

Zhanjiang Li 

申请注册联系人电话:

Applicant telephone:

+86 13521805471

研究负责人电话:

Study leader's
telephone:

+86 010 58303004

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

yzxu22@163.com

研究负责人电子邮件:

Study leader's E-mail:

lizhanjiang1221@sina.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

http://www.bjad.com.cn/

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

http://www.bjad.com.cn/

申请注册联系人通讯地址:

北京西城区德外大街安康胡同5号

研究负责人通讯地址:

北京西城区德外大街安康胡同5号

Applicant address:

5 Ankang hutong, Dewai main street, Xicheng District, Beijing

Study leader's address:

5 Ankang hutong, Dewai main street, Xicheng District, Beijing

申请注册联系人邮政编码:

Applicant postcode:

100088

研究负责人邮政编码:

Study leader's postcode:

100088

申请人所在单位:

首都医科大学附属北京安定医院

Applicant's institution:

Beijing Anding hospital affiliated to capital medical university

研究负责人所在单位:

Affiliation of the Leader:

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

NA

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

首都医科大学附属北京安定医院伦理委员会

Name of the ethic committee:

Beijing Anding hospital affiliated to capital medical university

伦理委员会批准日期:

Date of approved by ethic committee:

2008-06-11 00:00:00

伦理委员会联系人:

Contact Name of the ethic committee:

伦理委员会联系地址:

Contact Address of the ethic committee:

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

首都医科大学附属北京安定医院

Primary sponsor:

Beijing Anding hospital affiliated to capital medical university

研究实施负责(组长)单位地址:

北京西城区德外大街安康胡同5号

Primary sponsor's address:

5 Ankang hutong, Dewai main street, Xicheng District, Beijing

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

北京市科学技术委员会

具体地址:

北京西城区西直门南大街16号

Institution
hospital:

Beijing Municipal Science & Technology Committee

Address:

No.16 , South Main Street, Xizhimen, Xicheng District, Beijing

经费或物资来源:

北京市科学技术委员会

Source(s) of funding:

Beijing Municipal Science &Technology Commission

研究疾病:

精神分裂症  

Target disease:

schizophrenia

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

I期临床试验 

Study phase:

1

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

针对药物治疗存在的不足,选择认知行为治疗(cognitive-behavioral therapy,CBT)作为联合药物治疗的方法,对精神分裂症患者的阳性和阴性症状及情绪症状进行有效的心理干预,对患者的歪曲思维进行认知重建并训练患者管理认知来源的能力,同时对患者进行社会技能的训练,以更快更好地控制症状,减少复发,减轻护理负担,从而减少疾病的直接与间接费用,使疾病总费用下降,同时利于病人的社会康复,提高生活质量。  

Objectives of Study:

Antipsychotic medication is established treatment for schizophrenia, Yet there are some deficits. So cognitive-behavioral therapy (CBT), as a augmenting treatment, is combined with antipsychotic medication to enhance the efficacy of treatment for schizophrenia. CBT is a effective psychological intervention which aim at improving the positive、negative and emotional symptom . In the process of CBT, Cognitive reconstruction is applied to modify the Cognitive distortions, and the patients are received social skill training. That will improve the symptom more quickly, and reduce the difficulty of nursing care. That will also reduce the relapse rate. Above all, CBT will decrease the direct and indirect cost of treatment. Meanwhile it is helpful to improve the life quality and social rehabilitation of schizophrenia patients.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

排除标准:属于下列任何一项的患者不能入组
① 与其他精神疾病共病;
② PANSS量表中联想散漫≥4分、情感交流障碍≥4分,交流缺乏自发性和流畅性≥5分;
③ 近一个月之内未接受过无抽搐电痉挛治疗;
④ 合并严重或不稳定的躯体疾病。

Exclusion criteria:

Other primary or co-primary psychiatric disorder; In the PNASS subscale: conceptual disorganization >=4, poor rapport >=4, lack of spontaneity and flow of conversation>=5; Undergoing MECT at the latest 1 month; Suffering from serious physical disease.

研究实施时间:

Study execute time:

From 2008-04-01 00:00:00 To 2010-06-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2008-04-01 00:00:00 To 2008-12-31 00:00:00

干预措施:

Interventions:

组别:

支持性心理治疗组

样本量:

100

Group:

The group of supportive psychotherapy combined med

Sample size:

干预措施:

采用支持性心理治疗联合药物治疗。同一治疗师既施行CBT,同时也施行支持性心理治疗。第1-12周为心理治疗期,共治疗12次。第16周、20周和第24周为3次巩固治疗期。随访时间共60周(15个月)。

干预措施代码:

Intervention:

From the first to 12th week, 12 sessions of supportive psychotherapy are conducted weekly; 3 sessions are conducted to promote maintenance every 3 week from the 16th to 24th week, and the remaining 60 weeks is follow-up period.

Intervention code:

组别:

认知行为治疗组

样本量:

100

Group:

The group of CBT combined medication

Sample size:

干预措施:

采用CBT联合药物治疗,第1-12周为心理治疗期,共治疗12次。第16周、20周和第24周为3次巩固治疗期。随访时间共60周(15个月)。

干预措施代码:

Intervention:

From the first to 12th week, 12 sessions of CBT are conducted weekly; 3 sessions are conducted to promote maintenance every 3 week from the 16th to 24th week, and the remaining 60 weeks is follow-up period.

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

首都医科大学附属北京安定医院 

单位级别:

卫生局直属的精神卫生医疗机构、三级甲等医院 

Institution
hospital:

Beijing Anding hospital affiliated to capital medical university

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

应付方式问卷

指标类型:

主要指标

Outcome:

Coping Questionnaire

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

精神症状评定量表(PSYRATS)

指标类型:

主要指标

Outcome:

The Psychotic Symptom Rating Scales (PSYRATS)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

个人和社会表现量表(PSP)

指标类型:

主要指标

Outcome:

Personal and social performance scale (PSP)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

精神分裂症阳性和阴性症状量表 (PANSS)

指标类型:

主要指标

Outcome:

The positive and negative symptoms of schizophreni

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

非理性信念量表(IBS)

指标类型:

主要指标

Outcome:

Irrational beliefs Scale (IBS)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

精神分裂症症状归因问卷(SAQS)

指标类型:

主要指标

Outcome:

Schizophrenic symptoms attribution questionnaire (SAQS)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

临床疗效总评量表(CGI)

指标类型:

主要指标

Outcome:

The Clinical Global Impressions (CGI) scal

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

世界卫生组织生活质量量表简表(WHOQOL-BREF)

指标类型:

次要指标

Outcome:

The World Health Organization Quality of Life Questionary (WHOQOL-BREF)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

自知力问卷

指标类型:

次要指标

Outcome:

Insight questionnair

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 60 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

计算机软件

Randomization Procedure (please state who generates the random number sequence and by what method):

Computer software generated

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

结果评估:瞎

Blinding:

Results assessor: Blind

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

首都医科大学附属北京安定医院

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Beijing Anding hospital affiliated to capital medical university

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

首都医科大学附属北京安定医院

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Beijing Anding hospital affiliated to capital medical university

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2008-07-17 00:00:00