团体心理治疗对躯体形式障碍患者述情障碍的作用  

The effects of group psychological intervention on somatoform disorders alexithymia

作　　者：陈文泽 陈雪芬[2] 包祖晓[2] 陈宝君[1,2] 

机构地区：[1]浙江省台州恩泽医疗中心(集团)路桥医院,台州318050 [2]浙江省台州医院

出　　处：《国际精神病学杂志》2016年第6期1011-1014,共4页Journal Of International Psychiatry

基　　金：[基金项目]躯体化障碍患者交感神经皮肤反应和治疗的多中心研究(编号:121ky-11-26)

摘　　要：目的分析探讨团体心理治疗对躯体形式障碍患者的述情障碍的作用。方法随机选取180例确诊躯体形式障碍患者,随机分为试验组(90例)和对照组(90例)。对照组行常规治疗,试验组于此基础上行团体心理治疗,评估两组治疗结果。结果干预因素和时间因素对TAS因子Ⅰ、Ⅱ、Ⅳ存在交互作用,P<0.01;干预前的TAS因子分数和团体心理治疗可显著预测TAS因子Ⅰ、Ⅱ、Ⅳ的减少值,P<0.01;试验组疗效优于对照组,P<0.01;团体心理治疗、TAS因子Ⅰ、Ⅱ和Ⅳ是影响治疗结果的主要因素(OR=9.322-1.240)。结论躯体形式障碍患者的述情障碍经团体心理治疗后疗效显著。Objective To somatoform disorder. Methods control group （ 90 cases ） and the analyze the effects of group psychological interventions on alexithymia in patients with 180 patients with somatoform disorders were randomly chosen and divided into the experimental group （90 cases ） . The treatment effects of the two groups were analyzed. Results Interfering factors and time factors have interactions on TAS factors I , II, IV, P 〈 0.01 ; TAS factor scores and Group Psychotherapy before interventions can significantly predict the reduction value of TAS factors I , II, IV, P〈 0.01; the effects of the experimental group were better than the control group, P〈 0.01. Group Psychotherapy and TAS factor I , II and IV were the main factors affecting the results of treatment. Conclusion Psychological interven- tions have obvious effects on the alexithymia of patients with somatoform disorders.

关 键 词：团体心理干预 躯体形式障碍 述情障碍 

分 类 号：R799.05[医药卫生—临床医学]