团体归因训练对抑郁症、焦虑症和强迫症的疗效  

Curative effects of the attribution retraining on major depression disorder,anxiety disorder and obsessive-compulsive disorder

作　　者：张婕[1] 王纯[2] 张宁[2] 武欣[2] 郭苏皖[2] 欧红霞[2] 

机构地区：[1]山东科技大学心理咨询中心,青岛266510 [2]南京医科大学附属脑科医院医学心理科

出　　处：《临床精神医学杂志》2010年第6期371-373,共3页Journal of Clinical Psychiatry

基　　金：江苏省自然科学基金(BK2008083)

摘　　要：目的:验证团体归因训练对抑郁症、焦虑症和强迫症患者的临床治疗效果。方法:54例抑郁症、焦虑症和强迫症患者按照入组到开始治疗的时间分为3个基线组,每组进行为期8周的归因训练团体治疗,采用多基线实验设计,每隔2周评定汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HA-MA),治疗前后评定抑郁自评量表(SDS)、焦虑自评量表(SAS)和社会功能缺陷筛选量表(SDSS),强迫症组加测Yale-Brown强迫症量表(Y-BOCS)。结果:所有被试者治疗前后HAMD、HAMA、SDS、SAS量表得分差异均有统计学意义(t=18.41,19.85,6.33,6.97,P<0.01);强迫症组治疗前后Y-BOCS得分差异有统计学意义(t=5.47,P<0.001);所有被试治疗前后社会功能改善显著(Z=-6.41,P<0.001)。结论:团体归因训练对抑郁症、焦虑症和强迫症患者治疗有效。Objective：To explore the curative effects of the attribution retraining on the major depression disorder（MDD）,anxiety disorder（AD）and obsessive-compulsive disorder（OCD）. Method：Fifty four outpatients with MDD,AD or OCD were divided into 3 groups,which were treated with the attribution retraining.Multiple baseline method was adopted in the experimental research design and the curative effects were assessed using self anxiety scale（SAS）,self depression scale（SDS）,Hamilton anxiety scale（HAMA）,Hamilton depression scale（HAMD）,social disability screening schedule（SDSS）and Yale-Brown obsessive compulsive scale（Y-BCOS）at the baseline and week 2,4,6,8. Results：After treatment,the three groups showed significant differences compared with the baseline in SDS,SAS,HAMA and HAMD（t=18.41,19.85,6.33,6.97,P0.01）.OCD group demonstrated significant differences from the baseline in Y-BOCS（t=5.47,P0.001）.The social function of all the patients improved remarkably（Z=-6.41,P0.001）. Conclusion：The group attribution retraining can be effective in the treatment of MDD,AD and OCD.

关 键 词：抑郁症 焦虑症 强迫症 团体归因训练 

分 类 号：R749.4[医药卫生—神经病学与精神病学]