生物反馈治疗老年焦虑症的疗效观察  

Effectiveness of biofeedback therapy for anxiety in elderly patients

作　　者：郭伟[1] 韩刚亚[1] 涂哲明[1] 张新风[1] 盛娟[1] 周丽芳[1] 杨媚[1] 李艺华[1] 邓小鹏[1] 蔡德明[1] 刘波[1] 

机构地区：[1]荆州市精神卫生中心心理科,湖北荆州434000

出　　处：《中国康复》2013年第3期181-183,共3页Chinese Journal of Rehabilitation

基　　金：荆州市科技发展计划项目(20111354)

摘　　要：目的:探讨脑电生物反馈疗法治疗老年焦虑症患者的疗效。方法:将老年焦虑症患者64例分为研究组34例和对照组30例。2组均采用舍曲林治疗,研究组加用脑电生物反馈治疗。采用汉密尔顿焦虑量表(HAMA)评定焦虑疗效,用费城老年中心信心量表(PGCMS)评定患者的主观幸福感。结果:治疗8周后,2组HAMA评分均较治疗前显著降低,且研究组较对照组下降更显著(均P<0.05);治疗后2组PGCMS总分及各项评分均较治疗前显著提高,且研究组总分及"激越"和"孤独与不满"因子评分更高于对照组(均P<0.05);研究组的显效率明显高于对照组(P<0.05)。结论:脑电生物反馈疗法对老年焦虑症患者有较好的辅助治疗作用。Objective： To discuss the effectiveness of biofeedback therapy for anxiety in elderly patients. Methods： Sixty-four elderly patients with anxiety were randomly divided into study group （n= 34, treated by sertraline and bi- ofeedback therapy） and control group （n=30, treated by sertraline）. Hamilton depression rating scale for depression （HAMA） and Philadelphia geriatric center morale scale （PGCMS） were adopted to evaluate the therapeutic effects. Results：After treatment for 8 weeks, the scores of HAMA in both groups were declined obviously as compared with those before treatment,more significantly in study group （all P〈0.05）. The scores of PGCMS in both groups were increased obviously as compared with those before treatment, more significantly in study group of total scores, fac- tors of ＂agitation＂ and ＂loneliness and dissatisfaction＂ （P〈0.05 for all）. The significant efficiency in study group was higher than that in control group obviously （P〈0.05）. Conclusion： Biofeedback is a good adjuvant method for treatine anxiety in elderly patients.

关 键 词：焦虑症 脑电生物反馈疗法 舍曲林 

分 类 号：R749.72[医药卫生—神经病学与精神病学]