短期集体心理治疗对焦虑症患者防御方式及临床疗效的影响  

Study of short-term group psychotherapy and defense style on anxiety disorder patients

作　　者：余常红[1] 李怀敏[2] 胡赤怡[1] 胡纪泽[1] 周云飞[1] 许丽珍[1] 黄凌怡[1] 

机构地区：[1]深圳市康宁医院,深圳518003 [2]香港理工大学护理及医疗科学系

出　　处：《中国行为医学科学》2008年第3期222-224,共3页Chinese Journal of Behavioral Medical Science

基　　金：深圳市科技计划资助项目（200507123000443）

摘　　要：目的探讨短期集体心理治疗对焦虑症患者疗效的影响，及焦虑症的发生与防御方式的关系。方法研究对象为符合CCMD-3及DSM-IV的焦虑症患者，共43例。进行汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）、防御方式问卷、症状自评量表、SCL-90测评。结果HAMD评分及HAMA减分值主角组焦虑症患者[（7．82±3．66）分，（14．00±4．52）分]和非主角组焦虑症患者[（5．45±3．05）分，（11．09±4．06）分]显著高于对照组[（1．25±1．05）分，（1．75±0．98）分]（P〈0．01）。主角组焦虑症和非主角组焦虑症患者的HAMD、HAMA减分值差异无显著性（t=1．648，P=0．115；t=1．589，P=0．128），但其治疗后的HAMD分[（8．05±3．43）分]、HAMA分[（9．91±4．58）分]、SCL-90中的抑郁[（2．11±0．737）分]、焦虑[（2．10±0．96）分]和其他分[（1．88±0．62）分]较治疗前[（14．68±1．67）分，（22．45±2．46）分，（2．63±0、75）分，（2．73±0．94）分，（2．33±0．85）分]显著降低（t：8．896，P=0．000；t=13．230，P=0．000；t=2．364，P=0．026；t=2．091，P=0．046；f=2．177，P=0．039），不成熟防御因子与抑郁、敌对、精神病性显著性相关（r=0．489，r=0．414，r=0．463）。结论心理治疗对焦虑有明显疗效，但主角组焦虑症和非主角组焦虑症患者的疗效差异无显著性，焦虑症状与防御方式的不成熟有关。Objective To explore effect of short-term group psychotherapy on anxiety disorder patients, and relation of anxiety disorder and the defense styles. Methods All patients meet CCMD-3 and DSM-IV diagnostic criteria for anxiety disorder, 74 anxiety disorder patients were assessed with HAMD, HAMA, Defensive Style Question（DSQ） , the symptom checklist 90（SCL-90）. Results Decrease scores of HAMD and HAMA in leading roles （ 7.82 ± 3.66,14.00 ± 4.52 ） and non-leading group （ 5.45 ± 3.05,11.09 ± 4.06 ） were significant higher than that in control group（ 1.25 ± 1.05,1.75 ± 0.98 ） （ P 〈 0.01 ）. No significant difference were found in decrease scores of HAMD and HAMA between 22 leading roles and 21 non-leading anxiety disorder patients（ t = 1. 648, P = 0. 115 ; t = 1. 589, P = 0. 128 ）, scores of HAMD （ 8.05 ± 3.43 ）, HAMA （ 9.91 ± 4.58 ）, depression （2.11±0. 737） , anxious（2.10±0.96） ,and other（ 1.88±0.62） in SCL-90 were significant lower after psycho- therapy than before psychotherapy（ 14.68 ± 1.67, 22.45 ± 2.46, 2.63 ± 0.75,2.73 ± 0.94,2.33 ± 0.85 ） on anxiety disorder patients（ t = 8. 896, P = 0. 000 ; t = 13. 230, P = 0. 000 ; t = 2. 364, P = 0. 026 ; t = 2. 091, P = 0.046 ; t = 2. 177, P = 0.039） , Anxious, depression and Ps in SCL-90 were significant related to the defect of the immature defense styles（ r = 0.489, r = 0.414, r = 0. 463 ）. Conclusion No significant difference were found in treatment effect between 22 leading roles and 21 non-leading anxiety disorder patients but short-term group psycho- therapy was obviously efficient on anxiety disorder patients. Anxiety symptom related to the defect of the immature defense styles.

关 键 词：集体心理治疗 防御方式问卷 症状自评量表 焦虑症 

分 类 号：R749.7[医药卫生—神经病学与精神病学]