内观认知疗法对女性强制戒毒者身心症状的干预效果  

Effect of Naikan cognitive therapy intervention on psychosomatic symptoms of female compulsory drug abuse addicts

作　　者：李静[1] 毛富强[1,2] 张志浩 李一波 王旭[1] 张彤[2] 王戈 Li Jing;Mao Fuqiang;Zhang Zhihao;Li Yibo;Wang Xu;Zhang Tong;Wang Ge(Department of Psychiatry,Tianjin Medical University,Tianjin 300070,China;Institute of Psychology,Tianjin Medical University,Tianjin 300070,China)

机构地区：[1]天津医科大学精神卫生学系,300070 [2]天津医科大学心理学研究所,300070

出　　处：《中华行为医学与脑科学杂志》2020年第2期125-129,共5页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：天津市戒毒管理局优势教育戒治项目(1RW016)。

摘　　要：目的评价内观认知疗法对女性强制戒毒者身心症状干预效果。方法选取符合入组标准并自愿参加本课题研究的戒毒人员70名,采用随机数字表法将其分到两组,干预组35例,对照组35例。干预组接受连续10天的内观认知疗法(Naikan cognitive therapy,NCT)治疗,对照组接受相同时间的心理健康教育。两组分别于治疗前和治疗后进行症状自评量表(SCL-90)、领悟社会支持量表(PSSS)、简易应对方式量表、强制戒毒者复吸倾向性心理调查表测评。结果干预前两组人员间各评估指标间比较均差异无统计学意义(均P>0.05)。与干预前比较,干预组NCT干预后SCL-90总分[(176.49±40.85)分,(152.60±31.17)分]和躯体化、强迫、人际关系敏感、抑郁、焦虑、恐怖、偏执、精神病性因子评分均显著降低(均P<0.05);领悟社会支持总分[(59.09±14.60)分,(64.43±10.42)分]和家庭支持、朋友支持、其他支持分量表得分均显著升高;干预后干预组与对照组比较,积极应对得分[(25.54±6.09)分,(22.37±7.04)分]显著增高,消极应对得分[(8.20±3.59)分,(10.17±4.03)分]和复吸倾向性总分[(15.66±9.57)分,(22.11±10.18)分]显著下降(均P<0.05)。对照组的各量表得分均差异无统计学意义(均P>0.05)。结论内观认知疗法可显著改善女性强制戒毒者身心症状,显著提高女性强制戒毒者的领悟社会支持能力,增强积极应对方式,降低消极应对和复吸倾向性。Objective To evaluate the intervention effect of Naikan cognitive therapy(NCT)on psychosomatic symptoms of female compulsory drug addicts.Methods Seventy drug addicts who met the inclusion criteria and volunteered to participate in the study were selected and randomly divided into intervention group(n=35)and control group(n=35)with random number table method.The intervention group received 10 consecutive days of NCT,while the control group received the same period of mental health education.Before and after treatment,the two groups were assessed with symptoms check list-90(SCL-90),preceived social support scale(PSSS),simple coping style scale(SCSQ)and inclination of relapse questionnaire of drug rehabilitated addicts.Results There was no significant difference between the two groups before the intervention(all P>0.05).Compared with pre-intervention,the total score of SCL-90((176.49±40.85)vs(152.60±31.17)),somatization,compulsion,interpersonal sensitivity,depression,anxiety,terror,paranoid and psychiatric factors were significantly decreased and the total scores of PSSS((59.09±14.60)vs(64.43±10.42))family support,friend support and other support subscales increased significantly post-NCT intervention in the intervention group(all P<0.05).Compared with control group,the scores of positive coping((25.54±6.09)vs(22.37±7.04))increased significantly,and the tendency of negative coping((8.20±3.59)vs(10.17±4.03))and relapse((15.66±9.57)vs(22.11±10.18))decreased significantly(all P<0.05)after intervention in the intervention group.There was no significant difference in the scores of all scales in the control group(all P>0.05).Conclusion Naikan cognitive therapy can significantly improve the psychosomatic symptoms perceive social support and positive coping styles,and reduce the tendency of negative coping and relapse of female compulsory drug addicts.

关 键 词：内观认知疗法 强制戒毒者 身心症状 复吸倾向 

分 类 号：R74[医药卫生—神经病学与精神病学]