难治性功能性消化不良的认知治疗  

Cognitive therapy for refractory patients with functional dyspepsia

作　　者：郭锐[1] 王萌[1] 鲁春[1] 赵沛光[1] 

机构地区：[1]辽宁省东海县人民医院,辽宁东海222300

出　　处：《海南医学》2008年第10期5-6,共2页Hainan Medical Journal

基　　金：连云港卫生局125工程资助项目;编号pc03-021

摘　　要：目的探讨功能性消化不良患者心理特征及认知治疗的疗效。方法分别用EPQ﹑SCL-90量表对观察组50例功能性消化不良患者及对照组正常人进行测量,并对观察组予认知治疗,治疗12周后再予SCL-90量表测量。结果在EPQ分析中,观察组E分显著低于对照组,N分显著高于对照组;观察组SCL-90量表测量躯体化﹑强迫﹑人际关系﹑抑郁﹑焦虑等因素高于对照组;观察组认知治疗后,躯体化﹑抑郁﹑焦虑等因子明显改善。消化不良症状改善。结论功能性消化不良患者性格内向,情绪不稳定,存在严重心理问题,认知治疗治疗功能性消化不良疗效明显。Objective To explore psychological state in patients with functional dyspepsia and the effect of cognitive therapy on them. Methods 50 patients with functional dyspepsia and 50 healthy people were investigated with EPQ and SCL-90 scale. Patients of test group accepted cognitive therapy, 12 weeks after the treatment, Scores of SCL-90 in patients of test group were observed again. Results In analysis of EPQ,the Scores of E in patients with functional dyspepsia were significantly lower than the control group, the Scores of N in test group were significantly higher than the control group;In factors of SCL-90, the scores of somatization.forcedness.depression.anxiety and phobia were significantly higher than the control group, but these factors of test group were more improved after the treatment. At the same time, the functional dyspepsia symptoms were improved. Conclusion There are significant psychological problems in patients with functional dyspepsia, for example unsteady mood, introversive personnality and so on. Cognitive therapy has an obvious therapeutic effect for functional dyspepsia.

关 键 词：心理治疗 功能性消化不良 艾森克个性问卷 症状自量表 

分 类 号：R57[医药卫生—消化系统]