【摘要】：目的探討團(tuán)隊心理治療對軀體形式障礙患者早期干預(yù)的療效。方法選取2014年10月-2015年1月海南省儋州市農(nóng)墾那大醫(yī)院收治的軀體形式障礙患者97例,依據(jù)隨機(jī)數(shù)表法分為A組(團(tuán)體心理治療32例)、B組(藥物治療33例)、C組(團(tuán)隊心理治療+藥物治療32例),比較3組患者的臨床療效和軀體形式癥狀篩查量表(SOMS-7)、大體評定量表(GAS)及漢密爾頓抑郁量表(HAMD)評分。結(jié)果 A組顯效率為62.50%,好轉(zhuǎn)率為81.25%;B組顯效率為63.64%,好轉(zhuǎn)率為84.85%;C組顯效率為87.50%,好轉(zhuǎn)率為96.88%,組間比較,差異有統(tǒng)計學(xué)意義(P0.05),C組患者的顯效率和好轉(zhuǎn)率高于A、B組。治療前,3組患者的SOMS-7評分比較,差異無統(tǒng)計學(xué)意義(P0.05)。治療后48周,A組、B組及C組的SOMS-7評分為(10.44±2.17)、(10.72±2.11)和(6.75±2.09)分,經(jīng)方差分析,差異有統(tǒng)計學(xué)意義(P0.05)。C組的SOMS-7評分低于A、B組。治療前,3組患者的GAS評分比較,差異無統(tǒng)計學(xué)意義(P0.05)。治療后48周,A組、B組及C組的GAS評分為(76.18±5.44)、(77.29±5.19)和(84.25±5.91)分,經(jīng)F檢驗,差異有統(tǒng)計學(xué)意義(P0.05)。C組的GAS評分高于A、B組。3組患者的HAMD評分比較,差異無統(tǒng)計學(xué)意義(P0.05)。治療后48周3組患者的HAMD評分比較,差異有統(tǒng)計學(xué)意義(P0.05),C組患者的HAMD評分低于A、B組。結(jié)論團(tuán)體心理治療聯(lián)合藥物使用在治療軀體形式障礙方面成效好,能夠改善患者精神狀況及臨床癥狀。
[Abstract]:Objective to explore the effect of group psychotherapy on early intervention in patients with somatoform disorder. Methods 97 patients with somatoform disorder were selected from October 2014 to January 2015 in Nongkenanada Hospital, Danzhou City, Hainan Province. According to the random number table method, group A (32 cases of group psychotherapy) and group B (33 cases of drug therapy) were divided into group C (32 cases of group psychotherapy) and group C (32 cases of group psychotherapy). The clinical efficacy and somatoform symptom screening scale (SOMS-7) of 3 groups were compared. Body rating scale (gas) and Hamilton Depression scale (Hamd). Results the effective rate of group A was 62.50, the improvement rate of group B was 83.64, the improvement rate of group C was 87.50 and the improvement rate of group C was 96.888.The difference was statistically significant (P0.05). There was no significant difference in SOMS-7 score between the three groups before treatment (P0.05). The SOMS-7 scores of group A and group C were (10.44 鹵2.17), (10.72 鹵2.11) and (6.75 鹵2.09) at 48 weeks after treatment. The difference was statistically significant (P0.05) .The score of SOMS-7 in group C was significantly lower than that in group A (P0.05). Before treatment, there was no significant difference in gas scores among the three groups (P0.05). The gas scores of group A and group C were (76.18 鹵5.44), (77.29 鹵5.19) and (84.25 鹵5.91) at 48 weeks after treatment. The difference was statistically significant (P0.05). The score of gas in group C was higher than that in group AMB (P0.05). At 48 weeks after treatment, the Hamd scores of the three groups were significantly different (P0.05) the Hamd score of the C group was lower than that of the Agna B group. Conclusion Group psychotherapy combined with drug therapy is effective in the treatment of somatoform disorders and can improve the mental status and clinical symptoms of the patients.
【作者單位】： 海南省儋州市農(nóng)墾那大醫(yī)院精神病科;海南省安寧醫(yī)院心理科;
【基金】：海南省醫(yī)學(xué)科研基金資助項目(No:1421320.57A2004)
【分類號】：R749.7

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