针刺配合行为疗法干预网络成瘾者抑郁症状  

Acupuncture Combined with Cognitive Behavior Therapy for the treatment of Depression in Youngsters with Internet Addiction Disorder:Clinical Study

作　　者：苏沛珠[1] 张贵锋[1,2] 刘洋洋[1] 区伟雄 

机构地区：[1]南方医科大学,广东广州510515 [2]广东省新兴中药学校,广东新兴527400

出　　处：《辽宁中医杂志》2011年第3期532-535,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：广东省中医药局建设中医药强省科研课题(2008072);南方医科大学学生课外科研学术活动课题(208kw112)

摘　　要：目的:观察针刺、认知行为疗法以及二者相结合对青少年网络成瘾的临床干预效果,探索一种有效的网络成瘾治疗方法。方法:运用KimberlyS.Young网络成瘾量表和CIAS-R修订版量表筛选出网络成瘾者60例,随机分为A、B、C3组,分别施以认知行为疗法、针刺疗法、针刺配合认知行为疗法治疗6周,在治疗前、治疗第3周及治疗第6周运用HAMD评价治疗效果。结果:3种治疗方法对认知障碍因子的影响无显著差异(P>0.05)。与治疗前比较,A组的HAMD积分、精神性抑郁及躯体性抑郁在治疗第3周时开始显著降低(P<0.05),而睡眠障碍及情绪到治疗第6周才显著降低(P<0.05)。B组和C组除认知障碍外其余各项疗效指标均于治疗第3周开始显著降低(P<0.05)。从治疗第3周开始,B组和C组的HAMD积分、情绪、睡眠障碍、躯体性抑郁显著低于A组(P<0.05),治疗第6周时幅度增加(P<0.05);而B组和C组的精神性抑郁因子在治疗第6周时才开始显著低于A组。B组和C组的HAMD减分率显著高于A组(P<0.05)。结论:针刺疗法及针刺配合认知行为疗法对网络成瘾青少年的抑郁症状有显著改善作用。Objective ： To observe the effects of acupuncture, cognitive behavior therapy and the two in combination on youngstets with Internet Addiction Disorder. Methods ： A total of 60 volunteers screened by Young＇s Interact Addiction Scales and CIAS - R were randomly and equally divided into three groups, group A, group B and group C, which were separately treated by acupuncture,cognitive behavior therapy and the two in combination for 6 weeks. The effects of the three kinds of therapy were evalua- ted by comparing the scores of HAMD pre and post treatment. Results：There＇s no significant difference in cognitive disorders among Group A, Group B and Group C （ P 〉 0. 05 ）. Compared with those of pretreatment, HAMD scores, mental depression, physical depression of Group A showed significant decrease after three weeks＇ treatment（ P 〈 0. 05 ） ,while sleep disorders and emotion disorders did after six weeks＇treatment（ P 〈 0. 05）. Other endpoints except cognitive disorders of Group B and Group C had shown decrease since three weeks＇treatment, and showed greater decrease after six weeks＇treatment. HAMD scores, emotion disorders, sleep disorders and physical depression had been significantly lower than those of Group A since three - week treatment （ P 〈 0.05 ）, and showed greater gap after six - week treatment（ P 〈 0. 05 ） when depression was significantly lower than group A（ P 〈 0. 05 ）. HAMD reduction rate of Group B and Group C were both lower than Group A（ P 〈 0.05 ）. Conclusion：Acupuncture combined with cognitive behavior therapy could effectively relieve youngsters of depression.

关 键 词：针刺 认知行为疗法 网络成瘾 抑郁 

分 类 号：R749.41[医药卫生—神经病学与精神病学]