摘要
目的:评估跨诊断取向团体认知行为治疗对焦虑障碍患者的疗效,探讨其主要治疗性因素及认知行为治疗技术的运用情况,为进一步完善治疗方案和提高疗效提供依据。方法:对符合精神障碍诊断与统计手册第4版(DSM-IV)焦虑障碍(包括惊恐障碍、广泛性焦虑障碍、强迫障碍、社交焦虑障碍)诊断标准的34例患者进行为期10周的团体认知行为治疗。在治疗前和治疗后分别对患者施测状态-特质焦虑问卷(STAI),治疗结束时完成团体治疗疗效因子问卷和认知行为治疗反馈问卷。结果:34例患者治疗10周后SAI评分降低[(34.9±6.4)vs.(53.6±5.4),P<0.01];4种诊断治疗前后SAI评分差异均无统计学意义(均P>0.05)。团体治疗疗效因子的相对重要性排序依次为人际互动中的获取、自我了解、普遍性、信息传递、团体凝聚力、存在意识因子、情绪宣泄、希望重塑、人际互动中的付出、利他性、家庭情境重现、行为模仿。患者认为受益最多的认知行为技术依次是关于焦虑和ABC情绪理论的心理教育、社交技巧训练和放松训练。结论:跨诊断取向团体认知行为治疗对不同诊断的焦虑障碍患者均有较好的疗效,认知行为技术中心理教育、社交技巧训练和放松训练在团体形式中运用较为充分有效。
Objective： To evaluate the efficacy of c.ognitive-behavioral group therapy for anxiety disorders, in- vestigate the important therapeutic factors in group therapy, and providing experimental evidences for further clinical practice. Methods： Totally 34 anxiety disorder outpatients meeting criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition （DSM-IV） received cognitive-behavior group therapy for 10 weeks. The State- Trait Anxiety Inventory （STAI） were administered before and after the treatment. The Group Therapeutic Factors Questionnaire and a self-made questionnaire for cognitive-behavioral techniques were also filled out. Results： Com- pared to baseline, the patients had significant reduction in the scores at anxiety after treatment[ （34. 9±6. 4） vs. （53.6±5.4）, P 〈 0. 01 ], with no different score reduction between any primary diagnose. The important group therapeutic factors related to treatment were interpersonal gain, self-realization, universality, imparting information, group cohesiveness, existential factors, catharsis, instillation of hope, interpersonal pay-out, altruism, the corrective recapitulation of the primary family eroup, and imitative behavior. The most effective inzredients of CBT were Dsvchoeducation, social skills and relaxation training. Conclusion： The study shows the effect of transdiagnostic anxiety treatment models and provide preliminary support for the assumption that individuals with different anxiety diagno- ses can be treated equally within the same treatment protocol. Psychoeducation, social skills and relaxation training may be most effective ingredients of CBT in group therapy.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2012年第11期814-818,共5页
Chinese Mental Health Journal
关键词
跨诊断取向
团体认知行为治疗
焦虑障碍
开放性临床试验
transdiagnostic
cognitive-behavioral group therapy
anxiety disorder
open-label clinical trials
