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정신분열병의 인지 기능 재활에 대한 보드게임요법의 효과 분석

The effects of board-game therapy on cognitive rehabilitation in patients with chronic schizophrenia

정안순|윤탁
대한생물정신의학회 (The Korean Society Of Biological Psychiatry)|2006.05|생물정신의학 (Journal of Korean Society of Biological Psychiatry)|제13권 제2호|pp. 13-17

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참고문헌

주제분류정신과학

초록

Abstract

Objectives: In order to explore the effect of board-game therapy for cognitive rehabilitation in patients with schizophrenia, we investigated the change of executive cognitive functions over a 2-month period of board-game therapy in patients with schizophrenia. Methods: Two groups of chronic schizophrenic inpatients were participated in this study. One group (n=21) were treated with board-game therapy for 2 months and the other control group (n=19) were not treated. For the evaluation of the executive cognitive function, a Wisconsin Card Sorting Test (WCST) was administered before and after the introduction of the board-game therapy. PANSS score change was also evaluated. Result: At the beginning of this study, there was no significant difference in performance of cognitive function tests, demographical data or clinical severity between both patient groups. After 2 months of treatment with the board-game therapy, the board-game therapy group showed significant improvements of executive cognitive function without any significant change of their schizophrenic symptoms. On the contrary, there was no change in control group. Conclusion: This study showed that a board-game therapy is effective for the enhancement of executive cognitive function in patients with chronic schizophrenia. A board-game therapy could be introduced with ease into psychiatric fields, such as inpatients or outpatients clinic wards and day hospital. Our result indicates that the board-game therapy is a promising tool for the enhancement of cognitive function, especially executive cognitive function and helpful for cognitive rehabilitation for schizophrenic patients. . Key wards: Board-game therapy. Schizophrenia, Executive cognitive function, Wisconsin card shorting test (WCST), Cognitive rehabilitation

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