正念认知疗法结合渐进式肌肉放松训练对酒精所致精神障碍患者精神心理状态、自我效能及应对方式的影响  

Effect of mindfulness-based cognitive therapy combined with progressive muscle relaxation training on the psychological state,self-efficacy,and coping strategies of patients with alcohol induced mental disorders

作　　者：余立君 彭述珊 吴素丽 YU Lijun;PENG Shushan;WU Suli(Department of Psychiatry,The Second People's Hospital of Lishui,Lishui 323300,China)

机构地区：[1]浙江省丽水市第二人民医院精神专科,323300

出　　处：《中国健康心理学杂志》2025年第2期197-201,共5页China Journal of Health Psychology

基　　金：浙江省丽水市科技计划项目(编号:2022SJZC047)。

摘　　要：目的:探讨正念认知疗法(MBCT)结合渐进式肌肉放松训练(PMRT)对酒精所致精神障碍(AIPD)患者精神心理状态、自我效能及应对方式的影响。方法:选取某院2022年9月至2024年1月收治的82例AIPD患者为研究对象,采用随机数字表法将患者对照组、观察组,各41例。两组均接受常规药物治疗,对照组给予常规护理,观察组在对照组的基础上联合MBCT、PMRT。比较两组患者干预前、干预后(出院前)精神心理状态、自我效能、应对方式及生活质量,调查患者出院后6个月的复饮情况。结果:出院后6个月,观察组患者复饮率低于对照组(34.15%vs.56.10%),差异具有统计学意义(χ^(2)=3.989,P<0.05)。干预后,观察组患者焦虑忧郁、敌对猜疑、缺乏活力、思维障碍、激活性评分及简明精神病评定量表(BPRS)总分均低于干预前,差异具有统计学意义(t=3.237,2.793,2.549,2.871,2.981,6.071;P<0.05);观察组患者一般自我效能感量表(GSES)评分高于对照组,差异具有统计学意义(t=3.649,P<0.05);观察组患者简易应对方式问卷(SCSQ)评分中积极应对维度评分高于对照组,消极应对评分低于对照组,差异具有统计学意义(t=3.418,2.205;P<0.05)。结论:MBCT结合PMRT有利于改善AIPD患者精神心理状态及应对方式,提升自我效能,降低复饮率。Objective:To investigate the effects of mindfulness-based cognitive therapy(MBCT)combined with progressive muscle relaxation training(PMRT)on the psychological state,self-efficacy,and coping strategies of patients with alcohol induced mental disorders(AIPD).Methods:Eighty-two AIPD patients admitted to the Second People's Hospital of Lishui were prospectively selected as the research subjects from September 2022 to January 2024,and a random number table method was used to divide the patients into a control group and an observation group,with 41 patients in each group.Both groups received routine medication treatment,while the control group received routine care.The observation group received MBCT and PMRT in addition to the control group.The mental state,self-efficacy,coping style and quality of life of the two groups were compared before intervention and after intervention(before discharge),and the patients're-drinking at 6 months after discharge was investigated.Results:Six months after discharge,the relapse rate of patients in the observation group was significantlylower than that in the control group(χ^(2)=3.989,P<0.05).After the intervention,the anxiety,depression,hostile suspicion,lack of vitality,thinking disorders,activation scores,and the total score of the Brief Psychiatric Rating Scale(BPRS)in the observation group were all lower than before the intervention,and the difference was statistically significant(t=3.237,2.793,2.549,2.871,2.981,6.071;P<0.05).The General Self-Efficacy Scale(GSES)score of patients in the observation group was higher than that in the control group,and the difference was statistically significant(t=3.649,P<0.05).The positive coping dimension score in the Simplified coping style questionnaire(SCSQ)of the observation group patients was higher than that of the control group,and the negative coping dimension score was lower than that of the control group,with statistical significance(t=3.418,2.205;P<0.05).Conclusion:The combination of MBCT and PMRT is beneficial for improving the psy

关 键 词：正念认知疗法 渐进式肌肉放松训练 酒精所致精神障碍 精神心理状态 自我效能 应对方式 

分 类 号：R749.05[医药卫生—神经病学与精神病学] R395.4[医药卫生—临床医学]