目的：探讨团体美术治疗对首发缓解期精神分裂症患者临床症状及共情能力的疗效。

方法：采用随机对照设计，将60例首发缓解期精神分裂症患者分为研究组与对照组（各30例）。对照组采用原有药物治疗联合常规康复，研究组在原有药物及常规康复基础上加用团体美术治疗，共治疗15周。采用阳性和阴性症状量表（Positive and Negative Syndrome Scale，PANSS）、人际反应指针量表-中文版（Interpersonal Reactivity Index-C，IRI-C）以及个人和社会功能量表（Personal and Social Performance scale，PSP）在干预前后对2组患者进行评估和比较。

结果：在阴性症状因子方面，研究组患者干预前后的评分差值与对照组比较差异有统计学意义（P＜0.001）。治疗后，研究组治疗前后评分差值在IRI-C总分及分量表分（观点采择、想象力、共情关注和个人痛苦）和PSP总分上均优于对照组（P＜0.05）。

结论：团体美术治疗作为一种康复训练手段，能够有效改善首发缓解期精神分裂症患者的共情能力、减轻临床症状及提升社会功能。

Objective: To investigate the efficacy of group art therapy on clinical symptoms and empathy ability in patients with first-episodic remission schizophrenia.

Methods: 60 patients with first-episode remission schizophrenia were included and randomly divided into study group and control group, with 30 patients in each group. The control group was given routine rehabilitation treatment on the basis of drug treatment, while the research group was intervened by group art therapy in addition to the drug and routine rehabilitation treatment for 15 weeks. Before and after the intervention, both groups completed the assessment of Positive And Negative Syndrome Scale (PANSS), Interpersonal Reactivity Index-C (IRI-C), and Personal and Social Performance scale (PSP).

Results: The changes in the scores of the negative symptom factor before and after the intervention in the research group was statistically significant compared with those in the control group (P < 0.001). After the intervention, the changes were superior to those in the control group in terms of the IRI-C total score, perspective taking (PT), imagination (FS), empathic concern (EC), personal distress (PD), and the total score of PSP (P < 0.05).

Conclusion: As a rehabilitation training method, group art therapy can effectively improve the empathy ability of patients with first-episode schizophrenia in remission, reduce clinical symptoms, and improve social function.