团体正念认知治疗对广泛性焦虑障碍患者的焦虑和注意维持的疗效  

Efficacy of group mindfulness-based cognitive therapy on anxiety and sustained attention in patients with generalized anxiety disorder

作　　者：倪照军 栗雪琪 黄薛冰[1] NI Zhaojun;LI Xueqi;HUANG Xuebing(Peking University Sixth Hospital,Peking University Institute of Mental Health,Key Laboratory of Mental Health,Ministry of Health(Peking University),Bejing 100083.China)

机构地区：[1]北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100083

出　　处：《中国心理卫生杂志》2022年第5期361-366,共6页Chinese Mental Health Journal

基　　金：首都卫生发展科研专项基金(No.2018-2-4114)。

摘　　要：目的:验证团体正念认知治疗(MBCT)与团体认知行为治疗(CBT)对广泛性焦虑障碍患者的焦虑症状和注意维持功能等效性。方法:选取符合DSM-Ⅳ广泛性焦虑障碍诊断的患者138例,将其随机分配进入团体MBCT+常规治疗组和团体CBT+常规治疗组,两组在进行常规的门诊药物治疗外,分别给予8周的团体MBCT和团体CBT。采用汉密顿焦虑量表(HAMA)和持续操作测验-相同配对版(CPT-IP)评估患者在基线、治疗8周后的焦虑症状与注意维持功能。结果:8周治疗结束时,两组的HAMA评分均较基线降低(均P<0.001),CPT得分均较基线提高(均P<0.05);两组间的HAMA临床有效率(87.50%vs.81.48%)、临床治愈率(71.43%vs.59.26%)、HAMA减分情况、CPT得分差异均无统计学意义(均P>0.05)。结论:团体正念认知治疗与团体认知行为治疗均可以有效缓解广泛性焦虑障碍患者的焦虑症状、改善注意维持功能,且两种治疗方法的效果相当。Objective:To verify the equivalence of group mindfulness-based cognitive therapy(MBCT)and group cognitive behavioral therapy(CBT)on anxiety symptoms and sustained attention in patients with generalized anxiety disorder.Methods:Totally 138 patients who met the DSM-IV diagnosis of generalized anxiety disorder were randomized to a MBCT(n=69)or CBT(n=69)group.Both groups received either 8 weeks of group MBCT or CBT in addition to treatment-as-usual(TAU).Anxiety symptoms severity of patients and sustained attention were assessed respectively with the Hamilton Anxiety Scale(HAMA)and the Continuous Performance Test-Identical Pair(CPT-IP)at baseline and 8 weeks of treatment Results:At the end of 8-week treatment,the HAMA scores were lower and the CPT scores were higher than those at baseline(Ps<0.05)in both groups.There were no significant differences in the response rate(87.50%vs.81.48%),and the remission rate of HAMA(71.43%vs.59.26%),HAMA reduction score and the improvement of CPT score between the two groups(Ps>0.05).Conclusion:Both group MBCT and group CBT could effectively relieve anxiety symptoms and improve sustained attention function in patients with generalized anxiety disorder,and the therapeutic effect of group MBCT is similar to that of group CBT.

关 键 词：正念认知治疗 认知行为治疗 广泛性焦虑障碍 注意力 

分 类 号：R749.72[医药卫生—神经病学与精神病学]