合理情绪疗法对躯体形式障碍患者的增效作用  

Synergistic effect of rational emotional therapy in somatoform disorder

作　　者：肖旭曼[1] 黎雪松[1] 陈广阳[1] 罗伟森[1] 谢建文[1] 赵长江[1] 

机构地区：[1]佛山市第三人民医院,佛山528041

出　　处：《国际精神病学杂志》2013年第3期139-142,共4页Journal Of International Psychiatry

基　　金：佛山市科技发展专项基金项目(项目编号20090857)

摘　　要：目的探讨合理情绪疗法对躯体形式障碍患者的增效作用。方法将100例躯体形式障碍患者随机分为两组:研究组50人,接受合理情绪疗法及文拉法辛治疗;对照组50人,单用文拉法辛组。分别治疗12周,于治疗前后分别用症状自评量表(SCL-90)、多伦多述情量表(TAS-26)、汉密尔顿抑郁量表(HAMD)以及汉密尔顿焦虑量表(HAMA)及临床疗效总评量表(CGI-GI)评定临床疗效。结果治疗后,研究组SCL-90总均分与多个因子分均显著低于对照组(P<0.01),研究组TAS-26总分和因子1、2、4评分、HAMD、HAMA评分均显著低于对照组(P<0.01),研究组CGI-GI有效率达98%,高于对照组的76%,存在显著性差异(P<0.01)。结论合理情绪疗法能提高躯体形式障碍的疗效。Objective To explore the synergistic effect of Rational Emotive Therapy in the treatment of somatoform disorder.Methods A total of 100 patients with somatoform disorder were randomly divided into two groups,research group(n=50)treated with combination of rational emotional therapy and velafaxine and control group(n=50)treated with extended release velafaxine only.All the patients underwent treatment for 12 weeks,Curative effects were assessed with the symptom checklist 90(scl-90),toronto alexithymia scale(TAS-26),hamilton depressive scale(HAMD),hamilton anxitety scale(HAMA)and clinical global impression scale(CGI-GI),before and after treatment.Results After treatment,the average value of the scores and all of ten factor scores of scl-90 in research group were significantly lower than that in control group(P<0.01),total score and fator score of 1,2,4of TAS-26,HAMD and HAMA score in research group were significantly lower than that in control group(P<0.01),the efficiency of CGI-GI in research group(98%)was higher than the control group(76%),there was significance difference.Conclusion Rational emotive therapy is a method in cognitive therapy psychotherapy,it can improve the effects of somatoform disorders.

关 键 词：合理情绪疗法 躯体形式障碍 文拉法辛 疗效 

分 类 号：R749[医药卫生—神经病学与精神病学]