中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
23期
128-130
,共3页
心理疗法%帕罗西汀%艾滋病恐惧症%应用效果
心理療法%帕囉西汀%艾滋病恐懼癥%應用效果
심리요법%파라서정%애자병공구증%응용효과
Psychotherapy%Paroxetine%AIDS phobia%Application effect
目的：研究心理疗法在疑病障碍患者中的应用效果。方法：选择本院艾滋病门诊2012年3月-2014年5月接诊的67例疑病障碍患者，采用自愿原则将其分为对照组31例和研究组36例，对照组给予帕罗西汀治疗，研究组在对照组基础上联合认知心理疗法，治疗前后采用明尼苏达多项人格测验（MMPI）中疑病（HS）和抑郁（D）量表和症状自评量表SCL-90对两组患者的精神症状变化进行比较，并评价疗效。结果：研究组治疗后除敌对因子无明显变化外，躯体化、强迫症、焦虑、抑郁、人际关系、恐怖、偏执和精神病性评分均较治疗前明显降低，MMPI中HS和D量表评分均较治疗前明显降低（P<0.05）。研究组治疗后躯体化、强迫症、焦虑、抑郁、人际关系、恐怖、偏执和精神病性八个因子评分均明显低于对照组，MMPI中HS和D量表T分均明显低于对照组（P<0.05）。研究组的治疗总有效率88.89%明显高于对照组的67.74%，差异有统计学意义（χ2=6.5417，P<0.05）。结论：疑病障碍是躯体心理性疾病，对疾病片面性认识和误解是发病的主要原因之一。在药物治疗的同时联合心理疗法可明显促进精神症状的改善，提高疗效，值得临床广泛推广。
目的：研究心理療法在疑病障礙患者中的應用效果。方法：選擇本院艾滋病門診2012年3月-2014年5月接診的67例疑病障礙患者，採用自願原則將其分為對照組31例和研究組36例，對照組給予帕囉西汀治療，研究組在對照組基礎上聯閤認知心理療法，治療前後採用明尼囌達多項人格測驗（MMPI）中疑病（HS）和抑鬱（D）量錶和癥狀自評量錶SCL-90對兩組患者的精神癥狀變化進行比較，併評價療效。結果：研究組治療後除敵對因子無明顯變化外，軀體化、彊迫癥、焦慮、抑鬱、人際關繫、恐怖、偏執和精神病性評分均較治療前明顯降低，MMPI中HS和D量錶評分均較治療前明顯降低（P<0.05）。研究組治療後軀體化、彊迫癥、焦慮、抑鬱、人際關繫、恐怖、偏執和精神病性八箇因子評分均明顯低于對照組，MMPI中HS和D量錶T分均明顯低于對照組（P<0.05）。研究組的治療總有效率88.89%明顯高于對照組的67.74%，差異有統計學意義（χ2=6.5417，P<0.05）。結論：疑病障礙是軀體心理性疾病，對疾病片麵性認識和誤解是髮病的主要原因之一。在藥物治療的同時聯閤心理療法可明顯促進精神癥狀的改善，提高療效，值得臨床廣汎推廣。
목적：연구심리요법재의병장애환자중적응용효과。방법：선택본원애자병문진2012년3월-2014년5월접진적67례의병장애환자，채용자원원칙장기분위대조조31례화연구조36례，대조조급여파라서정치료，연구조재대조조기출상연합인지심리요법，치료전후채용명니소체다항인격측험（MMPI）중의병（HS）화억욱（D）량표화증상자평량표SCL-90대량조환자적정신증상변화진행비교，병평개료효。결과：연구조치료후제활대인자무명현변화외，구체화、강박증、초필、억욱、인제관계、공포、편집화정신병성평분균교치료전명현강저，MMPI중HS화D량표평분균교치료전명현강저（P<0.05）。연구조치료후구체화、강박증、초필、억욱、인제관계、공포、편집화정신병성팔개인자평분균명현저우대조조，MMPI중HS화D량표T분균명현저우대조조（P<0.05）。연구조적치료총유효솔88.89%명현고우대조조적67.74%，차이유통계학의의（χ2=6.5417，P<0.05）。결론：의병장애시구체심이성질병，대질병편면성인식화오해시발병적주요원인지일。재약물치료적동시연합심리요법가명현촉진정신증상적개선，제고료효，치득림상엄범추엄。
Objective:To study the application effects of psychotherapy in patients with hypochondriacal disorder. Method:67 patients with hypochondriacal disorder in AIDS clinic of our hospital from March 2012 to May 2014 were selected,by the voluntary principle,they were divided into the control group for 31 cases and the study group for 36 cases. The control group was given Paroxetine treatment,the study group was given cognitive psychotherapy on the basis of the control group.The changes of mental symptoms of patients between the two groups before and after treatment by Minnesota multiple personality test (MMPI) in hypochondriasis (HS) and depression(D) scale and the symptom checklist SCL-90 were compared,and evaluated the effect.Result:Except for hostility,the somatization,obsessive-compulsive disorder, anxiety,depression,interpersonal relationship,terror,paranoid and psychotic scores of the study group after treatment were significantly lower than before treatment,MMPI HS and D scale score of T were significantly lower than before treatment(P<0.05).The somatization,obsessive-compulsive disorder,anxiety,depression,interpersonal relationship, terror,paranoid and psychotic scores of the study group after treatment were significantly lower than the control group, MMPI HS and D scale score of T were significantly lower than the control group(P<0.05).The total effective rate of the studt group was 88.89%,which was significantly higher than 67.74% of the control group,the difference was statistically significant(χ2=6.5417,P<0.05).Conclusion:Hypochondriacal disorder is physical psychological diseases,one of the main causes of the disease is the understanding and misunderstanding of the disease.While the drug treatment combined with psychotherapy can obviously promote the improvement of psychiatric symptoms,improve curative effect,is worthy of clinical popularization.
