【摘要】 目的:探讨艾司西酞普兰合并正念认知治疗(MBCT)对广泛性焦虑障碍(GAD)患者自尊和应对方式的影响。方法:采用随机数字法将72例GAD患者分为研究组和对照组各36例;两组均给予艾司西酞普兰治疗,同时给予研究组MBCT;于治疗前和治疗8周后应用汉密尔顿焦虑量表(HAMA)、自尊量表(SES)和简易应对方式问卷(SCSQ)进行评定。结果:治疗后研究组HAMA评分明显低于对照组,SES评分明显高于对照组, SCSQ积极应对评分明显高于对照组,消极应对评分低于明显对照组(P均<0.01)。结论:艾司西酞普兰合并MBCT能有效改善GAD患者的焦虑症状、自尊水平和应对方式。更多还原

【Abstract】 Objective: To investigate the effect of escitalopram combined with mindfulness-based cognitive therapy(MBCT) on self-esteem and coping style in patients with generalized anxiety disorder(GAD). Method:A total of 72 GAD patients were randomly divided into the study group(36 cases) and the control group(36 cases). Both groups were treated by escitalopram for 8 weeks.Meanwhile,the study group was given MBCT.Before and after 8 weeks of treatment,the patients were assessed using Hamilton anxiety rating scale(HAMA),self-esteem scale(SES) and simple coping style questionnaire(SCSQ). Results:After 8 weeks of treatment,the score of HAMA in the study group was remarkably lower than that in the control group;the score of SES was remarkably higher than that in the control group,the score of positive coping style of SCSQ was remarkably higher and the score of negative coping style of SCSQ was remarkably lower compared with the control group(all P<0.01). Conclusion: Escitalopram combined with MBCT can effectively improve anxiety symptoms,self-esteem and coping style in GAD patients.更多还原