内观认知疗法对男性酒依赖患者康复期心理渴求的治疗效果  

Effect of Naikan Cognitive Therapy on psychological craving during convalescence in male alcohol dependent patients

作　　者：梁震韬[1] 杨宇[1] 高丽娟[1] 俞翠芳[1] 梁智沣 LIA NG Zhen-tao YA NG Yu GAO Li-juan YU Cui-fang LIA NG Zhi-feng(Psychiatry Department, Third people＇s Hospital of Foshan, Foshan, Guangdong,528041,China)

机构地区：[1]佛山市第三人民医院精神科,广东佛山528041

出　　处：《职业与健康》2017年第16期2247-2250,共4页Occupation and Health

基　　金：佛山市卫生和计生局医学科研课题项目(20170136)

摘　　要：目的研究内观认知疗法对男性酒依赖患者康复期心理渴求的治疗效果。方法将酒依赖患者随机分为研究组(39例)和对照组(42例)。研究组患者在常规治疗基础上,同时连续7 d给予内观认知疗法(Naikan Cognitive Therapy,NCT)进行治疗,对照组患者仅给予常规治疗。治疗前后分别采用强制性饮酒问卷(the Obsessive Compulsive Drinking Scale,OCDS)、症状自评量表(Symptom Check List 90,SCL-90)、临床疗效总评量表(Clinical Global Impression,CGI)进行评估。结果经NCT治疗后,研究组OCDS评分(45.08±0.52)分,显著低于对照组(47.64±0.73)分,差异有统计学意义,P<0.05;治疗后研究组患者SCL-90量表中人际关系、焦虑、抑郁、敌对、恐怖、偏执各维度及量表总分得分均低于对照组得分,差异均有统计学意义,均P<0.05;经NCT法治疗后,研究组患者疗效总评(GI)维度得分(3.15±0.25)分、病情严重程度(SI)维度得分(3.08±0.23)分均显著性低于对照组患者得分GI(4.14±0.22)分,SI(4.23±0.23)分,疗效指数(EI)指标得分比较,研究组患者得分(0.50±0.02)分高于对照组患者得分(0.41±0.03)分,差异均有统计学意义,均P<0.05。结论内观认知疗法可显著降低男性酒依赖性患者康复期的心理渴求程度,提高临床治疗疗效,同时改善患者的心理症状。[Objective] To investigate the effect of Naikan Cognitive Therapy（NCT） on psychological craving during convalescence in male alcohol dependent patients. [Methods]The alcohol dependence patients were randomly divided into the study group（39 cases） and the control group（42 cases）. The patients in the study group were treated with NCT on the basis of conventional therapy for 7 consecutive days,while the control group received only routine therapy. All patients were evaluated by the Obsessive Compulsive Drinking Scale（OCDS）,the Symptom Check List 90（SCL-90） and the Clinical Efficiency（CGI）before and after treatment.[Results]After treatment with NCT,the OCDS score in the study group（45.08±0.52）was lower than that in the control group（47.64±0.73）,and the difference was statistically significant（P0.05）. After treatment,the scores of interpersonal relationship,anxiety,depression,hostility,terror and paranoia SCL-90,as well as the total score of SCL-90 in the study group were lower than those in the control group,and the differences were statistically significant（P0.05）. After treatment with CNT,the global impression（GI） score（3.15 ±0.25）,severity of illness（SI） score（3.08 ±0.23） in the study group were lower than those in the control group[GI（4.14 ±0.22）,SI（4.23 ±0.23）],efficacy index（EI） score（0.50 ±0.02） in the study group was higher than that in the control group（0.41 ±0.03）,and the differences were statistically significant（P〈0.05）.[Conclusion]NCT can significantly reduce the psychological craving degree during convalescence in male alcohol dependent patients,enhance the curative effect of clinical treatment,and improve the psychological symptoms of patients.

关 键 词：内观认知疗法 酒依赖性 心理渴求 

分 类 号：R181.3[医药卫生—流行病学]