团体归因治疗对抑郁症、焦虑症、强迫症患者的症状及心理社会功能的效果  

Psychosocial Effects of Attributional Retraining Group Therapy on Major Depression Disorder,Anxiety Disorders and Obsessive-Compulsive Disorder

作　　者：王纯[1,2] 张亚林[2] 张宁[1] 张婕[3] 季伟华[1] 李箕君[1] 

机构地区：[1]南京医科大学附属脑科医院医学心理科,江苏南京210029 [2]中南大学湘雅二医院精神卫生研究所,湖南长沙410011 [3]山东科技大学心理咨询中心

出　　处：《中国临床心理学杂志》2011年第3期398-400,403,共4页Chinese Journal of Clinical Psychology

基　　金："十一五"国家科技支撑计划重点项目(2009BAI77B07);江苏省自然科学基金(BK2008083)

摘　　要：目的:探索团体归因治疗对抑郁症、焦虑症、强迫症患者的症状及心理社会功能作用效果。方法:对63名门诊抑郁症、焦虑症、强迫症患者进行8周的团体归因治疗,治疗前后进行汉密尔顿抑郁量表、汉密尔顿焦虑量表、抑郁自评量表、焦虑自评量表、YALE-BROWN强迫量表、归因方式问卷、Connor-Davidson韧性量表、自尊量表、主观幸福感指数量表、艾森克人格问卷简式量表的测评。结果:①所有被试治疗前后的症状、社会功能、归因方式、自尊差异均具有统计学意义。抑郁症组的幸福感、复原力、精神质、神经质、内外向,焦虑症组的无望感、复原力、神经质,强迫症组的无望感减分具有统计学意义。结论:团体归因治疗的作用效果包括:①归因方式的改善;②自尊、人格、复原力的提高;③症状的消除和社会功能的恢复;④无望感的消除和幸福感的提高。Objective： To explore symptoms and psychosocial effects of attributional retraining group therapy（ARGT） on major depression disorder（MDD）,anxiety disorders（AD） and obsessive-compulsive disorder（OCD）.Methods： 63 outpatients with MDD,AD and OCD were treated with ARGT.They were assessed with SAS,SDS,HAMA,HAMD,SDSS,YALE-BROWN,ASQ,SES,CD-RISC,IWB and EPQ-RSC at the time before treatment and after treatment.Results： Before and after the treatment,there were significant differences in the scores of symptoms,social function,attributional style,self-seteem for all patients.It showed significant improvement in well-being,resilience,neuroticism,psychoticism and extraversion in MDD group,resilience,neuroticism and hopelessness in GAD group,and hopelessness in OCD group after treatment.Conclusion： ARGT takes effects on improving attributional style;increasing self-esteem,personality and resilience;reducing symptoms and increasing social function,reducing hopelessness and raising well-being.

关 键 词：团体归因治疗 抑郁症 焦虑症 强迫症 干预研究 

分 类 号：R395.5[哲学宗教—心理学]