简化认知行为治疗对广泛性焦虑的疗效初步研究

发布时间：2018-01-19 14:44

本文关键词： 简化认知行为治疗广泛性焦虑操作手册适宜技术疗效　出处：《上海交通大学学报(医学版)》2015年10期 　论文类型：期刊论文

【摘要】：目的通过对照试验初步验证简化认知行为治疗(SCBT)的临床疗效,建立针对广泛性焦虑的适宜技术。方法在心理咨询门诊通过海报宣传、护士推荐等方式招募广泛性焦虑患者,采用对照、盲法评估的方法分为SCBT组、SCBT+药物组和常规治疗组。采用广泛性焦虑量表(GAD-7)、14项汉密尔顿焦虑量表(HAMA-14)和17项汉密尔顿抑郁量表(HAMD-17)评估患者焦虑抑郁状况的变化。结果总样本40例,平均年龄为(34.30±9.55)岁,文化程度在大学本科及以上的31例(77.50%)。治疗8周末抑郁情绪有所改善,3组间差异无统计学意义(F=2.615,P=0.087)。基线时,3组间GAD-7评分的差异无统计学意义(P=0.195);8周末时,仅SCBT组减分率达50%以上(P=0.486)。基线时,3组间HAMA-14评分的差异有统计学意义(P=0.008);2周末时,3组有效进步例数分别为11、11、9例;8周末时,3组减分率分别为53.50%、54.79%、39.75%(P=0.317);治愈例数分别为7、6、2例。结论 SCBT疗效与SCBT联合药物治疗的效果相当,优于常规治疗;SCBT技术可行性高,对国内GAD患者有效性较强,长期疗效较好。
[Abstract]:Objective to preliminarily verify the clinical efficacy of simplified cognitive behavior therapy (SCBTT) and establish appropriate techniques for generalized anxiety through a controlled trial. Nurses were recommended to recruit patients with generalized anxiety. The patients were divided into two groups: SCBT group and routine treatment group. GAD-7 was used to evaluate generalized anxiety scale (GAD-7). 14 items of Hamilton anxiety scale (Hama-14) and 17 items of Hamilton Depression scale (HAMD-17) were used to evaluate the changes of anxiety and depression in patients. The average age was 34.30 卤9.55 years old, and 31 cases with education level of undergraduate degree or above were 77.50 years old. After 8 weeks of treatment, depression was improved. There was no significant difference among the three groups (P < 0.05). There was no significant difference in GAD-7 score between the three groups at baseline (P = 0.195). At the end of the 8th week, the score reduction rate of the SCBT group was more than 50% and the difference of HAMA-14 score between the three groups was statistically significant. (2) at the end of the week, the effective progressive cases in the 3 groups were 11 / 111 cases respectively; At the end of the 8th week, the score reduction rates of the three groups were 53.50 and 54.79, respectively. 2 cases were cured respectively. Conclusion the curative effect of SCBT is equal to that of SCBT combined with drug therapy, which is superior to conventional treatment. SCBT technique is feasible and effective for GAD patients in China.
【作者单位】：上海交通大学医学院附属精神卫生中心科研科;
【基金】：科技部“十二五”国家科技支撑项目(2012BAI01B04) 上海申康医院发展中心项目(SHDC120122013)~~
【分类号】：R749.72
【正文快照】： 广泛性焦虑(generalized anxiety disorder,GAD)旦大学附属中山医院心理咨询门诊和同济大学附属是指一种以缺乏明确对象和具体内容的提心吊胆及同济医院心身科门诊通过海报宣传、护士推荐、门诊紧张不安为主的焦虑症,并伴有显著的自主神经症医师诊断等方式开展招募,招募时间为

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