渐进式肌肉放松训练对酒依赖患者戒断期心理渴求和焦虑的作用  

THE EFFECT OF PROGRESSIVE MUSCLE RELAXATION TRAINING ON ALCOHOL CRAVING AND ANXIETY

作　　者：陶然[1] 朱建立[2] 马梦颖[1] 王传升[2] 孙洪强[3] 

机构地区：[1]北京大学回龙观临床医学院,北京100096 [2]新乡医学院第二附属医院,新乡453002 [3]北京大学第六医院,北京大学精神卫生研究所,国家精神心理疾病临床医学研究中心,卫生部精神卫生学重点实验室(北京大学),北京100191

出　　处：《中国药物依赖性杂志》2016年第2期186-189,共4页Chinese Journal of Drug Dependence

基　　金：国家自然科学基金面上项目(81571297)

摘　　要：目的:探讨渐进式肌肉放松训练对酒依赖患者戒断期心理渴求以及焦虑的影响。方法:选取符合DSM-IV诊断标准的酒依赖男性患者39例,随机分为干预组(n=20)和对照组(n=19),在常规治疗的基础上干预组行渐进式肌肉放松训练30 min,对照组听30 min非干预性的音乐。用视觉模拟标尺和皮肤电阻值评估患者暴露酒精相关线索时的心理渴求与焦虑情况。结果:干预组和对照组干预后皮肤电阻值(1.80±0.82 vs.3.30±1.34;F=4.59,P=0.04),焦虑(1.97±1.82 vs.2.23±1.79,F=6.09,P=0.01)差异有统计学意义;可视渴求量表(1.99±0.60vs.2.60±0.67,F=1.33,P=0.26),收缩压(123.50±15.57 vs.127.58±9.05,F=2.81,P=0.10),舒张压(87.65±10.02 vs.84.10±12.49,F=1.97,P=0.17)及心率(80.85±2.51 vs.85.16±2.53,F=0.23,P=0.64)差异均无统计学意义。结论:渐进式肌肉放松训练可降低酒依赖患者线索暴露后的心理渴求程度,并可减轻焦虑。Objective：To study the influence of progressive muscle relaxation training on craving and anxiety in withdrawal period of alcohol dependent patients.Methods：Thirty- nine patients with alcohol dependence diagnosed with DSM- Ⅳ were randomly divided into the intervention group and control group. Patients in the intervention group received progressive muscle relaxation training for 30 min and individuals in the control group listened to 30 min non- interfering music. We collected data of the skin conductance response, the anxiety visual scale and the visual craving scale before and after treatment.Results：Using the methods of ANOVA for repeated measurement,we found that after relaxation training,the intervention group patients showed reduced skin conductance response（ 1. 80 ± 0. 82 vs3. 30 ± 1. 34; F = 4. 59,P = 0. 04） and anxiety–visual analogue scale（ 1. 97 ± 1. 82 vs 2. 23 ± 1. 79,F = 6. 09,P = 0. 01）. The systolic blood pressure（ 123. 50 ± 15. 57 vs 127. 58 ± 9. 05,F = 2. 81,P =0. 10）,the diastolic blood pressure（ 87. 65 ± 10. 02 vs 84. 10 ± 12. 49,F = 1. 97,P = 0. 17） and the heart rate（ 80. 85 ± 2. 51 vs 85. 16 ± 2. 53,F = 0. 23,P = 0. 64） had no significant difference between the two groups.Conclusion：Progressive muscle relaxation training can effectively reduce the psychological craving after exposure to cues of alcohol and improve anxiety.

关 键 词：酒依赖 渐进式放松训练 心理渴求 焦虑 

分 类 号：R749.6[医药卫生—神经病学与精神病学]