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Prevention of First Episode Schizophrenia Relapse by Insight Education

XU Ling, CHEN Jianlei, XU Kun(Mental Department, Jining Hospital for Prevention and Treatment of Psychiatric Diseases, Jining 272051,China)  
Objective To explore the effect of insight education in preventing relapse in first episode schizophrenic patients. Methods One hundred and ten inpatients with first episode schizophrenia were randomly assigned into two groups: insight education and risperidone therapy group (control group, n=56). risperidone therapy group (observation group, n=54), The Positive and Negative Symptom Scale (PANSS), the Insight Treatment Attitude Questionnaire (ITAQ) and drug therapy compliance were used to assess the patients in above two groups just when they were admitted in and discharged from hospital. These patients who had been discharged from hospital after recovery or marked progress were followed up for two year. Results The scores of PANSS in two groups didn’t show significant difference (P0.05). The scores of ITAQ had no significant difference at the beginning of hospitalization between two groups, but the score in observation group was significantly higher than that in control group when they were discharged (P0.01). The compliance of drug therapy in observation group was significantly better than that in control group (P0.05). The rate of recurrence in observation group was significantly lower than that in control group within two year (P0.05). Conclusion Insight education for first episode schizophrenia might be effective in relieving symptoms and reducing relapse rate.
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