认知行为疗法治疗酒精依赖综合征的效果分析  

Effect analysis of cognitive behavior therapy in the treatment of patients with alcohol dependence syndrome

作　　者：郑秀英 傅薛标 沈永梅 苏建伟 ZHENG Xiuying;FU Xuebiao;SHEN Yongmei;SU Jianwei(Longyan Third Hospital,Longyan 364000,China)

机构地区：[1]龙岩市第三医院,福建龙岩364000

出　　处：《延边大学医学学报》2025年第1期33-36,共4页Journal of Medical Science Yanbian University

摘　　要：目的:分析酒精依赖综合征患者采用认知行为疗法治疗的效果。方法:选取2022年7月—2023年7月在龙岩市第三医院住院治疗的80例酒精依赖综合征患者,对其临床资料进行分析。按随机数字表法将患者分为对照组和观察组两组,所有患者均接受常规药物治疗,在此基础上观察组加用认知行为疗法治疗。对比两组的戒断症状、自我效能感、酒精摄入量、负性情绪及对酒精的渴望度,出院后进行为期半年的随访,记录复饮率。结果:治疗后,组间酒精戒断状态评定量表(CIWA-Ar)评分、酒精摄入量对比,观察组均较对照组低(P <0.05);组间一般自我效能感量表(GSES)评分对比,观察组较对照组高(P <0.05)。治疗后,组间汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、视觉模拟评分法(VAS)评分对比,观察组均较对照组低(P <0.05)。组间出院后6个月、1年复饮率对比,观察组均较对照组低(P <0.05)。结论:酒精依赖综合征患者采用认知行为疗法治疗能有效缓解戒断症状,提升自我效能感,减弱对酒精的渴望度,减少酒精摄入量,缓解负性情绪,降低复饮率,临床应用价值较高。Objective:To analyze the effect of cognitive behavioral therapy on patients with alcohol dependence syndrome.Methods:80 patients with alcohol dependence syndrome who were hospitalized at Longyan Third Hospital from July 2022 to July 2023 were selected and divided into a control group and an observation group according to the random number table method.The control group received conventional drug treatment,and the observation group was treated with conventional drug treatment plus cognitive behavioral therapy.The withdrawal symptoms,self-efficacy,alcohol intake,negative emotions,and alcohol craving between the two groups were compared.A six-month follow-up was conducted after discharge,and the rate of alcohol drinking was recorded.Results:After treatment,compared with the control group,the observation group had lower scores on the Clinical Institute Withdrawal Assessment for Alcohol-Revised(CIWA-Ar)and alcohol intake,higher scores on the General Self-Efficacy Scale(GSES),and lower scores on the Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),and Visual Analogue Scale(VAS).The rates of alcohol drinking at 6 months and 1 year after discharge were lower in observation group than in control group(P<0.05).Conclusion:Cognitive behavioral therapy can effectively alleviate withdrawal symptoms,enhance self-efficacy,reduce alcohol cravings,decrease alcohol intake,and alleviate negative emotions in patients with alcohol dependence syndrome,which has high clinical application value.

关 键 词：酒精依赖综合征 认知行为疗法 自我效能感 戒断症状 

分 类 号：R749.62[医药卫生—神经病学与精神病学]