团体心理治疗对抗震救灾官兵抑郁焦虑症状疗效的研究  

A study on effect of group psychotherapy in earthquake relief soldiers with anxiety and depression symptoms

作　　者：李光耀[1] 李宁[1] 宋梓祥[1] 张理义[1] 

机构地区：[1]中国人民解放军第一○二医院,213003

出　　处：《上海精神医学》2009年第6期340-341,372,共3页Shanghai Archives of Psychiatry

摘　　要：目的研究团体心理治疗对抗震救灾官兵抑郁焦虑症状的治疗效果。方法将60例抗震救灾官兵随机分为研究组和对照组,每组各30例,对研究组进行为期4周的一般性心理支持治疗和团体心理治疗,对照组仅实施一般性心理支持治疗。以汉密顿抑郁量表(HAMD)和汉密顿焦虑量表(HAMA)评估疗效。结果治疗后两组HAMD和HAMA评分均显著低于治疗前。对抑郁的有效率,研究组为63.3%(19例),对照组为16.7%(5例),有统计学差异(χ2=13.611,P=0.000)。对焦虑的有效率,研究组为46.7%(14例),对照组有效率为13.3%(4例),有统计学差异(χ2=7.937,P=0.005)。结论团体心理治疗对四川抗震救灾官兵的抑郁焦虑情绪有较好的疗效,可帮助灾难救援官兵减轻焦虑、抑郁。Objective： To explore the curative efficacy of group psychotherapy in earthquake relief soldiers with the anxiety and depression symptoms in Pingwu, Sichuan. Methods： 60 earthquake relief soldiers were randomly allocated to treatment group and control group, with 30 soldiers in each group. Group psychotherapy and general supportive psychotherapy were carried out on treatment group and only general supportive treatment on control group for 4 weeks. Both groups were evaluated with HAMA and HAMD before and after the therapy. Results：Compared to pre -treatment, the post- treatment HAMA and HAMD scores in both groups were significantly lower（ P 〈 0.01 ）. However, the response rate in treatment group was significantly higher（P 〈 0.01 ）. Conclusion： Group psychotherapy was beneficial to anxiety and depression in earthquake relief soldiers in Sichuan and it is worthwhile to be adopted widely.

关 键 词：团体心理治疗 抑郁 焦虑 

分 类 号：R82[医药卫生—临床医学] R749.4R749.7