白癜风的心理干预治疗作用评估  

Evaluation of the treatment effect of psychotherapy on vitiligo

作　　者：王毅侠[1] 刘雯[2] 田燕[2] 史飞[2] 冯燕君[2] 蔡瑞康[2] 

机构地区：[1]解放军总医院军医进修学院博士学员队,北京100853 [2]解放军空军总医院皮肤科

出　　处：《中华医学美学美容杂志》2008年第2期115-117,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨心理干预治疗在白癜风治疗中的作用。方法对120例白癜风患者进行心理健康症状自评量表（SCL-90）问卷调查，评价受试者心理健康状况。有心理问题的66例随机分为Ⅰ、Ⅱ组，无心理问题的54例随机分为Ⅲ、Ⅳ组。Ⅰ、Ⅲ组采用心理干预＋药物＋光疗，Ⅱ、Ⅳ组为单纯药物＋光疗治疗，疗程3个月，评价疗效同时再次进行心理测评，计算4组治疗方案的P值，评价患者心理问题的改善和皮损好转显效率的对应程度。结果Ⅰ组与Ⅱ组对比，显效率差异有统计学意义（P〈0．05）；Ⅲ与Ⅳ组对比，显效率差异无统计学意义（P〉0．05）；Ⅰ组与Ⅲ组对比，显效率差异有统计学意义（P〈0．05）；Ⅱ组与Ⅳ组对照，显效率差异无统计学意义（P〉0．05）。结论对白癜风患者进行心理干预治疗，有助于提高早期疗效和生活质量。Objective To investigate the role of psychotherapy plays in the treatment of vitiligo. Methods Psychological health questionnaire （SCL-90） was used in the study to evaluate the psychological well being of 120 vitiligo patients. 66 subjects suffering from psychological problems were divided randomly into groups Ⅰ and Ⅱwhile 54 subjects free of psychological problems randomly into groups Ⅲ and Ⅳ. Psychotherapy was applied together with drug and phototherapy to those subjects from groups Ⅰ and Ⅲ while groups Ⅱ and Ⅳ having no psychotherapy accompanied. After 3 months of treatment, evaluation was done on the treatment effect with psychological testing once again. The correlation between the improvement of psychological conditions of the subjects and the lesion development was then evaluated by ＂P＂ value of the four groups. Results Significant difference was achieved between group Ⅰ and group Ⅱ （ P 〈 0.05 ）. There was no significant difference between groups Ⅲ and Ⅳ （ P 〉 0.05 ）. There was significant difference between groups Ⅰ and Ⅲ. There was no significant difference between groups Ⅱ and Ⅳ. Conclusions The psychotherapy is helpful in improving the early treatment effect and quality of life in vitiligo patients.

关 键 词：白癜风 心理干预治疗 生活质量 

分 类 号：R758.41[医药卫生—皮肤病学与性病学]