CAJ | 학술논문

目的：编写适用于广泛性焦虑（GAD）的简化认知行为治疗（SCBT）操作手册。方法通过文献检索、相关培训和临床实践，针对 GAD 的症状特征编写 SCBT 操作手册。28例 GAD 患者随机分为 SCBT 组（研究组）和 SCBT ＋药物组（对照组）各14例进行为期8周的治疗，比较治疗前后两组患者自评疗效和误工时间，及16位治疗师的使用评价。结果建立整套适用于 GAD 的 SCBT 治疗师操作手册，12次治疗安排有连贯性。治疗后第8周末患者疗效自评研究组高于对照组（P ＝0．010）；两组误工时间均较各自治疗前减少（P ＜0．01）；研究组误工时间低于对照组（P ＝0．004）。16位治疗师中有12名认为比较容易学习手册中的内容，14名认为对患者的适用性比较高。结论SCBT 对 GAD 针对性和有效性较强，并具有良好的可操作性。
목적：편사괄용우엄범성초필（GAD）적간화인지행위치료（SCBT）조작수책。방법통과문헌검색、상관배훈화림상실천，침대 GAD 적증상특정편사 SCBT 조작수책。28례 GAD 환자수궤분위 SCBT 조（연구조）화 SCBT ＋약물조（대조조）각14례진행위기8주적치료，비교치료전후량조환자자평료효화오공시간，급16위치료사적사용평개。결과건립정투괄용우 GAD 적 SCBT 치료사조작수책，12차치료안배유련관성。치료후제8주말환자료효자평연구조고우대조조（P ＝0．010）；량조오공시간균교각자치료전감소（P ＜0．01）；연구조오공시간저우대조조（P ＝0．004）。16위치료사중유12명인위비교용역학습수책중적내용，14명인위대환자적괄용성비교고。결론SCBT 대 GAD 침대성화유효성교강，병구유량호적가조작성。
Objective To establish a Simplify Cognitive Behavioral Therapy (SCBT)manual appropriate for generalized anxiety disorder (GAD).Methods SCBT manual aiming at the symptom characteristics of GAD was compiled after literature retrieval,related training and clinical practices.28 patients with GAD were randomized into study group (14 cases )treated with SCBT and control group (14 cases)treated with SCBT and antianxietic for 8 weeks.The evaluate indicators included self -rated efficacy and the downtime at baseline and at the end of the 8-week treatment,as well as the evaluations of 16 therapeutists. Results A set of SCBT manual used by therapeutists was established for GAD,which consisted of 12 coherent sessions.The self-rated efficacy at the endpoint was significantly higher in study group than that in control group (P =0.010).The downtime at endpoint in both groups decreased significantly when compared with the baseline (P <0.01),and it was significantly lower in study group than that in control group (P =0.004).12 out of 16 therapeutists reported that SCBT manual was easy to learn,and 14 out of 16 therapeutists reported that SCBT manual had good applicability.Conclusion SCBT has good pertinency and efficacy for GAD,and can be used conveniently.