暗示疗法与认知行为疗法在老年躯体形式疼痛障碍患者中的效果比较

发布时间：2018-06-13 12:08

本文选题：持续性躯体形式疼痛障碍 + 暗示疗法　；参考：《中国老年学杂志》2016年20期

【摘要】：目的比较暗示疗法与认知疗法对老年持续性躯体形式疼痛障碍(PSPD)的效果。方法选择50例患者分别接受暗示心理治疗(暗示组),躯体意念引导式暗示心理治疗(认知组),分别在6个时间点运用疼痛视觉模拟评分(VAS)、焦虑自评量表(SAS)对患者进行疼痛与焦虑评估。结果住院期间两组的时间交互效应无差异(P0.05),出院后两组时间交互效应差异显著(P0.05),出院后暗示组疼痛值趋于稳定低值,而认知组疼痛程度呈上升趋势,出院6个月时暗示组复发率低于认知组(P0.05)。结论躯体意念引导式暗示疗法对老年PSPD患者的治疗效果有更好的长期效应,在一定的时间内对维持疗效、预防复发较认知行为心理治疗有一定优势。
[Abstract]:Objective to compare the effects of implicit therapy and cognitive therapy on persistent somatoform pain disorder (PSPD) in elderly patients. Methods 50 patients were treated with implied psychotherapy (hinting group) and somatic ideation guided psychotherapy (cognitive group). The patients were treated with visual analogue pain scale (VASA) and self-rating anxiety scale (SAS) at 6 time points. Pain and anxiety were evaluated. Results there was no significant difference in time interaction between the two groups during hospitalization (P 0.05), but there was a significant difference in time interaction between the two groups after discharge (P 0.05). After discharge, the pain value of the indicating group tended to be stable and low, but the pain degree of the cognitive group was on the rise. At 6 months after discharge, the recurrence rate in the implied group was lower than that in the cognitive group (P 0.05). Conclusion somatic ideation guided hinting therapy has a better long-term effect on elderly patients with PSPD. It has some advantages over cognitive behavior psychotherapy in maintaining curative effect and preventing recurrence in a certain time.
【作者单位】：郑州市第九人民医院心理科;郑州铁路职业技术学院护理学院;郑州大学护理学院;
【基金】：河南省哲学与社会科学规划项目(2013BJY003)
【分类号】：R749.7

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