单纯性肥胖患儿积极心理治疗与厌恶疗法的疗效差异  

Difference of Curative Effect between Positive Psychotherapy and Aversion Therapy for Simple Obese Children

作　　者：赵颖[1] 袁芳[1] 要冬颖[1] 

机构地区：[1]保定市第一医院儿科,河北保定071000

出　　处：《实用儿科临床杂志》2012年第13期1014-1015,共2页Journal of Applied Clinical Pediatrics

摘　　要：目的对比厌恶疗法与积极心理治疗对肥胖儿童的依从性和减轻体质量的有效率。方法肥胖儿童120例随机分为积极组与厌恶组,均给予常规饮食、健康教育、运动等行为干预治疗。积极组进行催眠疗法时给予积极的心理暗示治疗,厌恶组进行催眠时给予厌恶的心理暗示治疗,均每周2次。1个月后比较2组肥胖患儿体质量减轻的有效率和脱落人数。结果 1个月后厌恶组退出治疗34例(占56.67%);积极组退出治疗13例(占21.67%),2组比较差异有统计学意义(χ2=15.42,P<0.05)。厌恶组体质量减轻19例,有效率为73.08%;积极组体质量减轻43例,有效率为91.49%,二组比较差异有统计学意义(χ2=7.29,P<0.05)。结论积极心理治疗较厌恶疗法更适合肥胖患儿减轻体质量的行为治疗。Objective To compare the compliance of aversion therapy and positive psychological therapy for obese children and weight reduction. Methods The 120 cases of obese children were randomly divided into active psychotherapy group and antipathy group, who were given routine health education, diet, exercise, behavioral intervention therapy. Hypnotic therapy was given together with positive psychotherapy suggestion 2 times a week in psychological therapy group ; hypnosis was given in antipathy group with aversion implies treatment 2 times a week. Weight loss and efficiency of exit treatment ratio of the 2 groups were compared after a month of treatment. Results One month later, 34 cases （56.67%） in aversion therapy group dropped treatment, 13 cases （21.67%） in the active group withdrew from treatment,which had significant difference（x2 = 15.42 ,P 〈 0.05 ） ;19 cases（73.08% ） in aversion therapy group had a weight loss,43 cases （91.49%） in active therapy group had a weight loss, and there was significant difference between the 2 groups（x2 = 7.29,P 〈 0.05 ）. Conclusion Positive psy- chotherapy is more suitable than behavioral therapy for children with simple obese to loss weight.

关 键 词：肥胖 心理治疗 厌恶疗法 积极治疗 儿童 

分 类 号：R723.14[医药卫生—儿科]