改良森田疗法联合正念训练对广泛性焦虑障碍的随机对照试验  

A randomized controlled trial of modified Morita therapy combined with self-help mindfulness training in patients with generalized anxiety disorders

作　　者：张勤峰[1] 栾玉民[2] 刘颖 马秀青[1] 任清涛[1] ZHANG Qinfeng;LUAN Yumin;LIU Ying;MA Xiuqing;REN Qingtao(Zibo mental health center,Zibo Fifth People's Hospital,Zibo 255100,Shandong Province,China;The First Affiliated Hospital of Kunming Medical University,Kunming 650032,China)

机构地区：[1]山东省淄博市精神卫生中心,淄博市第五人民医院,山东淄博255100 [2]昆明医科大学第一附属医院,昆明650032

出　　处：《中国心理卫生杂志》2022年第7期551-556,共6页Chinese Mental Health Journal

摘　　要：目的:探索在改良森田疗法基础上联合正念训练对广泛性焦虑障碍的增效作用。方法:广泛性焦虑障碍住院患者150例,随机分成改良森田疗法联合正念训练组(联合组)和改良森田疗法对照组(单一组)各75例,最终联合组65例、单一组66例完成治疗。两组均接受药物治疗和改良森田疗法治疗,联合组同时加入正念训练,共5周。采用汉密顿焦虑量表(HAMA)、中文版神经症被束缚自评量表(SSTN)、五维度正念问卷(FFMQ)评估治疗效果。结果:5周治疗后,联合组HAMA、SSTN总分低于单一组,FFMQ总分高于单一组(均P<0.05)。结论:改良森田疗法联合正念训练对广泛性焦虑障碍患者的效果优于单用改良森田疗法。Objective:To explore the synergistic effect of combined mindfulness training on generalized anxiety disorder based on Modified Morita therapy.Methods:Totally 150 inpatients with generalized anxiety disorder were recruited and randomly divided into Modified Morita therapy combined with mindfulness training group(combined group)and Modified Morita therapy control group(single group),with 75 cases in each group.Finally,65 cases in the combined group and 66 cases in the single group completed the study.Both groups received drug therapy and Modified Morita therapy,and the combined group received mindfulness training for 5 weeks.The Hamilton Anxiety Scale(HAMA),Chinese version of Self-rating Scale for the TORAWARE state of Neurosis(SSTN)and Five Facts Mindfulness Questionnaire(FFMQ)were used to evaluate the treatment effects before and after the intervention.Results:After 5 weeks of intervention,the total scores of HAMA and SSTN were lower in the combined group than in the single group,while the total scores of FFMQ were higher in the combined group than in the single group(Ps<0.05).Conclusion:It suggests that the effect of Modified Morita therapy combined with mindfulness training on patients with generalized anxiety disorder is better than that of Modified Morita therapy alone.

关 键 词：广泛性焦虑障碍 改良森田疗法 正念训练 联合治疗 

分 类 号：R749.72[医药卫生—神经病学与精神病学] R749.055[医药卫生—临床医学]