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认知治疗对广泛性焦虑症患者疗效分析
The effect of cognitive therapy in patients with generalized anxiety disorder
【摘要】 目的观察认知治疗对广泛性焦虑症患者的临床疗效。方法将60例广泛性焦虑症患者随机分为治疗组和对照组各30例,两组均给予抗焦虑药物治疗,治疗组联合认知治疗。分别于治疗前及治疗第2w、第6w末采用汉密顿焦虑量表及副反应量表评定疗效及不良反应。结果治疗后两组患者的汉密顿焦虑量表总分、精神焦虑分及躯体焦虑分较治疗前显著降低(P<0.05或0.01);治疗6w末治疗组汉密顿焦虑量表总分及躯体焦虑分较对照显著降低(P<0.05,显效率显著高于对照组,且不良反应较少。结论认知治疗可以提高广泛性焦虑症患者的临床疗效。
【Abstract】 Objective To investigate the clinical efficacy of the cognitive therapy in patients with generalized anxiety disorder.Methods 60 patients with generalized anxiety disorder were randomly divided into study group(30 cases,treated with anti-anxiety drugs and combining cognitive therapy)and control group(30 cases,only given anti-anxiety drugs).Hamilton Rating Scale for Anxiety(HAMA)and Treatment Emergent Symptoms Scales(TESS)were evaluated the curative efficacy and adverse effects respectively before and at 2 weeks,6 weeks after treatment.Results The scores of total,psycho-and somato-anxiety of HAMA decreased significantly post-treatment in both the two groups(P<0.05).The scores of total and somato-anxiety of study group were lower than those of control group at the end of 6 weeks after treatment(P<0.05).The effective rate was higher and the adverse effects were less in the study group than in control group.Conclusion Cognitive therapy is a safe and effective treatment for patients with generalized anxiety disorder.
【Key words】 Cognitive therapy; generalized anxiety disorder; curative effect;
- 【文献出处】 临床心身疾病杂志 ,Journal of Clinical Psychosomatic Diseases , 编辑部邮箱 ,2008年06期
- 【分类号】R749.72
- 【被引频次】10
- 【下载频次】262