焦虑障碍患者高情感表达家属的认知行为干预效果初探  

Effect of Cognitive-Behavior Therapy on High Expressed Emotion Relatives with Anxiety Disorders Patients

作　　者：吴震卿 李稚琳[3] 梁彥蕊 赵谦[3] 袁国桢 Wu Zhenqing;Li Zhiling;Liang Yanrui(Wuxi Mental Health Center Affiliated to Nanjing Medical University,Wuxi 214151,China;Department of Psychiatry,Suzhou Integrated Traditional Chinese and Western Medicine Hospital Mudu People’s Hospital Affiliated to Suzhou Vocational Health College,Suzhou 215101,China;Suzhou Vocational Health College,Suzhou 215009,China)

机构地区：[1]南京医科大学附属无锡精神卫生中心,无锡214151 [2]苏州卫生职业技术学院附属苏州市中西医结合医院木渎人民医院精神科,苏州215101 [3]苏州卫生职业技术学院,苏州215009

出　　处：《华中科技大学学报（医学版）》2020年第6期745-750,共6页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

基　　金：2017年江苏高校哲学社会科学研究项目(No.2017SJBFDY671)。

摘　　要：目的探讨认知行为干预对焦虑障碍患者高情感表达家属的干预效果。方法选取符合入组条件的焦虑障碍患者高情感表达家属78人,将其随机分成研究组(33人)和对照组(45人),研究组给予认知行为干预,对照组仅进行常规健康宣教。使用生活满意度量表[包括生活满意度评定量表(Life Satisfaction Rating Scale,LSR)、生活满意度指数A(Life Satisfaction Index A,LSIA)、生活满意度指数B(Life Satisfaction Index B,LSIB)]以及Camberwell家庭会谈表中文版于入组时和12周后对两组进行测评,评估家属生活满意度和情感表达方式及特性。结果干预后研究组家属生活满意度较对照组更好(LSR评分16.15 vs.13.40,LSIA评分12.61 vs.10.93,LSIB评分15.67 vs.12.49);情感表达方式优于对照组(HEE家属比例39.39%vs.73.33%);情感表达特性方面,研究组情感过分参入较对照组低(情感过分参入均分2.00 vs.2.84)。结论认知行为干预能改善焦虑障碍患者高情感表达家属的生活满意度和情感表达方式及特性。Objective To explore the effect of Cognitive-Behavior Therapy(CBT)on the Anxiety Disorder patients’relatives with High Expressed Emotion(HEE).Methods A total of 78 relatives with HEE of Anxiety Disorder patients meeting the inclusion criteria were selected and randomly divided into study group(n=33)and control group(n=45).The study group was treated with CBT,the control group was given routine health education.Life Satisfaction Scale[include Life Satisfaction Rating Scale(LSR),Life Satisfaction Index A(LSIA),and Life Satisfaction Index B(LSIB)]and Camberwell Family Interview-Chinese Version,were used to measure the two groups at the time of enrollment and 12 weeks later to evaluate the life satisfaction of the relatives and the mode and characteristics of Expressed Emotion.Results Life satisfaction of relatives in the study group was better than that in the control group(scores for LSR 16.15 vs.13.40,scores for LSIA 12.61 vs.10.93,scores for LSIB 15.67 vs.12.49),and the mode of Expressed Emotion and Emotional Over Involvement are also the same(the proportion of relatives with HEE 39.39%vs.73.33%,average scores for Emotional Over Involvement 2.00 vs.2.84).Conclusion Cognitive-Behavior Therapy can improve the life satisfaction and the mode of Expressed Emotion and characteristics of Anxiety Disorder’s relatives with High Expressed Emotion.

关 键 词：焦虑障碍 情感表达 家属 认知行为治疗 生活满意度 

分 类 号：R749.05[医药卫生—神经病学与精神病学]