团体心理治疗对酒依赖患者的焦虑抑郁情绪的影响

来源:用户上传      作者:胡楠楠　　马莉　　王卓

　　[摘要] 目的 探讨团体心理治疗对酒依赖患者的焦虑、抑郁情绪的影响。 方法 选取2017年1月至2018年12月在杭州市第七人民医院住院的酒依赖患者99例，采用随机的方法分为试验组（n=48）和对照组（n=51）。两组均予药物常规治疗，对照组予一般健康宣教，试验组予团体心理治疗，社会功能支持，观察4周。对两组患者评定入组时及第4周末汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）及简明精神病量表（BPRS）筛查。 结果 两组患者人口学资料年龄、文化程度比较，差异无统计学意义（P>0.05）。试验组治疗后HAMA评分为（4.31±0.75）分，低于对照组的（14.47±1.74）分，两组比较，差异有统计学意义（P<0.05）。试验组治疗后HAMD评分为（4.48±1.05）分，低于对照组的（13.33±1.28）分，两组比较，差异有统计学意义（P<0.05）。试验组治疗后BPRS评分为（24.75±1.38）分，低于对照组的（35.37±2.29）分，两组比较，差异有统计学意义（P<0.05）。试验组治疗后HAMA、HAMD、BPRS得分均低于治疗前，差异有统计学意义（P<0.05）。 结论 药物治疗结合团体心理治疗有助于缓解酒依赖患者焦虑抑郁情绪。
　　[关键词] 团体心理治疗;酒依赖;焦虑;抑郁
　　[中图分类号] R473.2 [文献标识码] B [文章号] 1673-9701（2022）09-0184-04
　　Impacts of group psychotherapy on anxiety and depression emotions of patients with alcohol dependence
　　HU Nannan MA Li WANG Zhuo
　　Department of Psychiatry， Hangzhou Seventh People′s Hospital，Hangzhou 310013， China
　　[Abstract] Objective To investigate the impacts of group psychotherapy on anxiety and depression emotions of patients with alcohol dependence. Methods A total of 99 patients with alcohol dependence hospitalized in Hangzhou Seventh People′s Hospital from January 2017 to December 2018 were selected and randomly divided into the intervention group （n=48） and the control group （n=51）. Both groups were treated with conventional medication， the control group was given general health education， while the experimental group was given group psychotherapy and social function support for 4 weeks′observation. Hamilton anxiety scale （HAMA）， Hamilton depression scale （HAMD） and brief psychiatric rating scale （BPRS） of the two groups of patients were screened at the time of admission and at the end of the fourth week. Results There were no statistically significant differences in ages and educational levels of the demographic data between the two groups of patients. After treatment， the HAMA score of the intervention group was （4.31±0.75）points， which was lower than （14.47±1.74） points of the control group， with statistically significant difference between the two groups （P<0.05）. After treatment， the HAMD score of the intervention group was （4.48±1.05） points， which was lower than （13.33±1.28） points of the control group， with statistically significant difference between the two groups（P<0.05）. After treatment， the BPRS score of the intervention group was （24.75±1.38）points， which was lower than （35.37±2.29）points of the control group， with statistically significant difference between the two groups（P<0.05）.The scores of HAMA， HAMD and BPRS in the intervention group after treatment were all lower than those before treatment， with statistically significant differences（P<0.05）. Conclusion Drug therapy combined with group psychotherapy can help relieve the anxiety and depression of patients with alcohol dependence.

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