本文選題：軀體化障礙 + 認知行為療法��； 參考：《陜西師范大學(xué)》2014年碩士論文

【摘要】：軀體化障礙又稱Briquet綜合征,是個體在一種應(yīng)激反應(yīng)下出現(xiàn)了軀體不適的癥狀,主要表現(xiàn)為反復(fù)出現(xiàn)、多種多樣、經(jīng)常變化的軀體癥狀,這些軀體癥狀幾乎在每一個系統(tǒng)都可能出現(xiàn),沒有任何合適的病理來闡述這種軀體的不適和癥狀,常導(dǎo)致患者把這種軀體不適的癥狀歸結(jié)為軀體疾病,因此來尋求醫(yī)學(xué)上的幫助。但是經(jīng)過醫(yī)生的檢查又沒有一定的病理根據(jù)來解釋的軀體癥狀�；颊咄幌嘈裴t(yī)生給出其自己并沒有軀體障礙的診斷,反而會更多的把注意力放在自己的軀體上,不聽醫(yī)生的忠告,自行服用藥物和不必要的醫(yī)學(xué)檢查。這樣嚴重影響了患者的正常生活和工作,給患者的身心造成了不同程度的損害。因此對軀體化障礙的治療已經(jīng)成了研究者們研究的熱點。 本研究以西安市某醫(yī)院的軀體化障礙患者為例做了如下研究： 研究目的：采用多基線實驗設(shè)計的個案研究和2個月追蹤研究治療軀體化障礙患者,以考查認知行為療法結(jié)合暗示療法治療軀體化障礙的效果。 研究方法：對9個軀體化障礙患者進行認知行為療法結(jié)合暗示療法進行治療,在治療前、治療后和追蹤期分別使用癥狀自評量表(SCL—90)、軀體化障礙量表(SSS)、抑郁自評量表(SDS)和焦慮自評量表(SAS)對患者進行評估�；颊呙恐芙邮�1次治療,每次50-60分鐘,治療次數(shù)為8-10周。 研究結(jié)果：對患者的多基線數(shù)據(jù)進行圖形觀察發(fā)現(xiàn)所有按治療師制定方案完成治療的患者,軀體化癥狀有減輕的趨勢,焦慮和抑郁的情緒狀態(tài)也有所緩解,其治療效果在兩個月的追蹤得到了維持。Wilcoxon相關(guān)樣本檢驗發(fā)現(xiàn)患者的SSS前后側(cè)得分有顯著差異。SCL-90中的軀體化、人際關(guān)系、抑郁和焦慮因子的前后側(cè)得分也有顯著差異 研究結(jié)論：(1)認知行為療法結(jié)合暗示療法可以有效治療軀體化障礙,患者的軀體化障礙量表(SSS)、抑郁自評量表(SDS)和焦慮自評量表(SAS)前后側(cè)分數(shù)有差異。(2)患者軀體化癥狀的緩解能夠促進患者情緒狀態(tài)和人際關(guān)系的改善�；颊咴诎Y狀自評量表(SCL-90)的人際關(guān)系因子、焦慮因子、抑郁因子的前后測得分有差異。(3)認知行為療法結(jié)合暗示療法治療軀體化障礙的療效能夠得到維持。
[Abstract]:Somatization disorder, also known as Briquet syndrome, is a symptom of body discomfort in an individual under a stress response. It is mainly manifested in repeated, varied and frequently changing physical symptoms. These physical symptoms can occur in almost every system, and there is no suitable pathology to describe the discomfort and symptoms of the body, often leading patients to attribute the symptoms of the physical discomfort to a physical disease. So seek medical help. But after the doctor's examination, there is no certain pathological basis to explain the physical symptoms. Patients often do not believe in doctors to make their own diagnosis of no physical disorders, but will pay more attention to their own body, do not listen to the doctor's advice, self-medication and unnecessary medical examination. This seriously affected the patient's normal life and work, and caused varying degrees of damage to the patient's body and mind. Therefore, the treatment of somatization disorder has become the focus of researchers. This study took patients with somatization disorders in a hospital in Xi'an as an example to do the following research: Objective: to investigate the efficacy of cognitive behavioral therapy combined with hint therapy in the treatment of somatization disorders with a multi-baseline design and a 2-month follow-up study. Methods: nine patients with somatization were treated with cognitive behavioral therapy combined with implied therapy. The patients were evaluated with symptom Checklist 90 (SCL 90), somatization Disorder scale (SSS), self rating Depression scale (SDS) and self rating anxiety scale (SAS) after treatment and follow-up period. Patients received 50-60 minutes of treatment once a week for 8-10 weeks. Results: a graphical observation of multiple baseline data showed that all patients who completed the treatment according to the therapist's plan had a tendency to reduce their somatization symptoms, as well as their anxiety and depression emotional states. The results of two months follow-up showed that there were significant differences in the scores of the patients with SSS before and after treatment. The scores of somatization, interpersonal relationships, depression and anxiety factors were also significantly different in SCL-90. Conclusion: 1) Cognitive Behavioral Therapy combined with implied Therapy can effectively treat somatization disorders. There were significant differences in the scores of somatization disorder scale (SSS), self rating depression scale (SDS) and self rating anxiety scale (SAS) before and after SAS). (2) the relief of somatization symptoms could promote the improvement of emotional state and interpersonal relationship of the patients. The scores of interpersonal factors, anxiety factors and depression factors in SCL-90 were significantly different (P < 0.05). The efficacy of cognitive behavioral therapy combined with implied therapy in the treatment of somatization disorders could be maintained.
【學(xué)位授予單位】：陜西師范大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：B849

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