综合医院精神心理障碍患者的心理咨询方法研究(附11例患者临床资料分析)  

Psychological Counseling Method for Patients with Psychological Disorders in General Hospital:An analysis of clinical data of 11 patients

作　　者：陈文姬[1] 李英辉[1] 

机构地区：[1]东南大学附属中大医院全科医学科,江苏省南京市210009

出　　处：《中国全科医学》2011年第13期1482-1485,共4页Chinese General Practice

摘　　要：目的探讨综合医院精神心理障碍患者的心理咨询方法。方法对在全科医学科住院的11例精神心理障碍患者给予药物治疗与心理咨询,结合"心身一体"理论,采用认知行为疗法和认识领悟疗法进行干预。结果经主观和客观评价11例患者均有不同程度恢复,治疗后SAS、SDS评分与治疗前比较,差异均有统计学意义(P<0.01);治疗后SCL-90躯体化、人际关系、恐惧、强迫、抑郁、焦虑、敌对及其他各因子分与治疗前比较差异均有统计学意义(P<0.05)。结论认知行为疗法和认识领悟疗法简单、通俗易懂,容易被患者接受,医生容易掌握。Objective To explore the psychological counseling method for patients with psychological disorders in general hospital.Methods Eleven inpatients with psychological disorders from general practice department were given both pharmacotherapy and psychological counseling,according to the theory of ＂psychosomatic unity＂,they were given cognitive behavior therapy and cognitive comprehension therapy for intervention.Results The subjective and objective evaluation showed that 11 patients recovered to a certain degrees.After the treatment,their scores of Self-Rating Anxiety Scale（SAS and Self-Rating Depression Scale（SDS） were statistically improved（P0.01）;and the factional scores in Symptom Check List 90（SCL-90） of somatization,interpersonal sensitivity,fear,compulsion,depression,anxiety,and hostility were also statistically improved（P0.05）.Conclusion This method is simple and popular,and it is easy to be accepted by patients and to be mastered by doctors.

关 键 词：精神心理障碍 心理咨询 方法 

分 类 号：R749[医药卫生—神经病学与精神病学]