集体治疗缓解酒依赖患者焦虑抑郁症状的初步评价

发布时间：2018-02-27 00:18

本文关键词： 酒依赖集体治疗焦虑抑郁　出处：《中国心理卫生杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的:初步探讨集体治疗对缓解酒依赖患者焦虑抑郁症状的临床疗效。方法:选取普洱市第二人民医院2014年1月1日-12月31日入院诊断为酒依赖患者,使用焦虑自评量表(SAS)、抑郁自评量表(SDS)及简明精神病量表(BPRS)筛查为伴随焦虑抑郁状态者117例,采用入院先后顺序分为药物联合集体治疗组(干预组,n=89)和单纯药物治疗组(对照组,n=88),两组均给予复方地西泮替代治疗,干预组在此基础上联合集体治疗,观察8周。使用临床疗效总评量表(CGI)评定总体疗效。结果:干预组治疗后SAS、SDS、BPRS、CGI得分均低于治疗前[(21.1±8.3)vs.(65.3±10.2),(35.1±7.5)vs.(73.4±9.2),(20.7±3.5)vs.(51.7±5.6);(4.3±1.0)vs.(5.4±0.6),P0.01或P0.05]。对照组治疗前后各量表得分差异均无统计学意义(均P0.05)。结论:药物治疗基础上的集体治疗在缓解酒依赖患者焦虑抑郁方面优于单纯药物治疗。
[Abstract]:Objective: to explore the clinical effect of collective therapy on relieving anxiety and depression in patients with alcohol dependence. Methods: the patients with alcohol dependence were selected from January 1st 2014 to December 31st in the second people's Hospital of Pu'er City. Self-rating anxiety scale (SAS), Self-Rating Depression scale (SDS) and brief Psychiatric scale (BPRS) were used to screen 117 patients with anxiety and depression. The order of admission was divided into two groups: drug combined group therapy group (intervention group) and simple drug therapy group (control group). Both groups were given compound diazepam replacement therapy, the intervention group combined with collective therapy on this basis. Results: after treatment, the CGI scores of SASSDSs in the intervention group were significantly lower than those before treatment [21.1 卤8.3 vs.65.3 卤10.2vs.73.4 卤9.220.7 卤3.5vs.51.7 卤5.6vs.5.4 卤0.6 P0.01 or P 0.05]. Conclusion there was no significant difference between the two groups before and after treatment (P 0.05). Group therapy based on drug therapy is superior to drug therapy alone in relieving anxiety and depression in patients with alcohol dependence.
【作者单位】：普洱市第二人民医院;
【分类号】：R749.62

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