时机理论心理干预对酒精依赖患者焦虑抑郁及酒精依赖程度的影响  

The effect of time theory psychological intervention on anxiety,depression,and alcohol dependence in alcohol dependents

作　　者：蔡露醒 张贵香 林杉 杜明峰 CAI Luxing;ZHANG Guixiang;LIN Shan(Department of Substance dependence,Fuyang Third People's Hospital,Fuyang 236000,China)

机构地区：[1]阜阳市第三人民医院物质依赖科,阜阳236000

出　　处：《国际精神病学杂志》2025年第1期294-297,共4页Journal Of International Psychiatry

基　　金：安徽省自然科学基金项目(编号:2008085QG345)。

摘　　要：目的探讨时机理论心理干预对酒精依赖患者焦虑抑郁及酒精依赖程度的影响。方法将阜阳市第三人民医院2019年3月~2022年3月共104例酒精依赖患者按随机数字表法分为两组,对照组52例,观察组52例。对照组采用常规治疗,观察组采用时机理论心理干预。比较两组患者护理前后汉密尔顿焦虑量表(Hamilton anxiety rating scale,HAMA)、汉密尔顿抑郁自评量表(Hamilton Depression self-rating Scale,HAMD),评估护理前后宾夕法尼亚酒精渴求量表(Pennsylvania alcohol desire scale,PACS)、酒精戒断状态评定量表(Alcoholic withdrawal syndrome,AWS),比较两组患者复饮率。结果两组患者护理后较护理前比较,HAMA评分、HAMD评分均显著降低,且护理后观察组两项量表评分均低于对照组(P<0.05);两组患者护理后较护理前比较,AWS评分、PACS评分均显著降低,且护理后观察组两项量表评分均低于对照组(P<0.05);观察组复饮率显著低于对照组(P<0.05)。结论时机理论心理干预用于酒精依赖患者能够有效降低焦虑、抑郁情绪,改善酒精戒断状态以及酒精渴求程度,降低复饮率。Objective To explore the application effect of time theory psychological intervention on anxiety,depression,and alcohol dependence in alcohol dependents.Methods A total of 104 Alcohol dependence patients in Fuyang Third People's Hospital from March 2019 to March 2022 were selected as the study subjects,and they were divided into two groups according to random number table.There were 52 cases in the control group and 52 cases in the observation group.The control group received routine psychological care,while the observation group received timely theorybased psychological intervention.The hamilton depression rating scale(HAMA)、hamilton anxiety rating scale(HAMD)of two groups of patients before and after nursing care were compared.The pennsylvania alcohol desire scale(PACS)and alcoholic withdrawal syndrome(AWS)before and after nursing care were evaluated.The relapse rate of two groups of patients were compared.Results After nursing care,compared with before nursing care,the HAMA score and HAMD score of the two groups of patients were significantly reduced,and the two scale scores of the observation group after nursing care were lower than those of the control group(P<0.05).After nursing care,the AWS score and PACS score of the two groups of patients were significantly reduced compared to before nursing care,and the scores of both scales in the observation group were lower than those in the control group after nursing care(P<0.05).The relapse rate of the observation group was significantly lower than that of the control group(P<0.05).Conclusion The timing theory psychological intervention can effectively reduce anxiety and depression in patients with alcohol dependence.improve alcohol withdrawal status and alcohol craving,and reduce the rate of re drinking.

关 键 词：时机理论 酒精依赖 心理干预 焦虑 抑郁 酒精渴求 酒精戒断状态 

分 类 号：R749.99[医药卫生—神经病学与精神病学]