摘要
目的了解认知疗法合并地西泮治疗酒依赖的效果。方法将患者随机分为研究组和对照组,研究组口服地西泮20～40mg/d,症状控制后逐渐减量并给予认知治疗,对照组单纯使用地西泮治疗,用法、用量同研究组。在治疗前、治疗第1、2、3、4周使用戒断症状量表评分,在治疗前、治疗1、2、3个月用酒精依赖程度问卷评分。结果治疗1周后戒断症状量表评分显示研究组与治疗前比较有显著性差异(t=22.61,P<0.01),对照组与治疗前比较有显著性差异(t=20.92,P<0.01),在治疗2、3、4周时,研究组评分低于对照组,且有统计学差异(P<0.05)。治疗1个月酒依赖程度量表显示,研究组评分与治疗前比较有显著性差异(t=3.35,P<0.01),对照组与治疗前比较有统计学差异(t=2.84,P<0.05),治疗2、3个月时研究组评分低于对照组(P<0.01)。结论认知疗法有助于减轻患者戒断症状和酒精依赖程度。
Objective To explore clinical efficacy of cognitive therapy combined with diazepam on the treatment of alcohol dependence.Methodss Patients were randomly assigned to two groups：Research and control group.Patients were administered with diazepam 20~40mg/d,and cognitive therapy in research group,patients were administered with diazepam 20~40mg/d alone,and evaluated with withdrawal symptoms scale before treatment and 1,2,3,4 weeks after treatment,the score of alcohol dependence level questionnaires before treatment and 1,2,3 months after treatment.Results After one week treatment,the socre of withdrawal symptoms scale was significantly different comparing with that before treatment（t=22.61,P0.01）,as well as in control group（t=20.92,P0.01）.At the end of 2,3,4 week,the score in research group was lower than that in control group（P0.05）.After one month,the score of alcohol dependence level in research group showed significant difference comparing with that before treatment（t=3.35,P0.01）,as well as in control group（t=2.84,P0.05）.At the end of 2,3 month,the score in research group was lower than that in control group（P0.01）.Conclusion Cognitive therapy may reduce withdrawal syndrome and alcohol dependence level in patients.
出处
《中国健康心理学杂志》
2013年第8期1127-1129,共3页
China Journal of Health Psychology
关键词
精神病学
认知疗法
地西泮
酒依赖
Paychiatry
Cognitive therapy
Diazepam
Alcohol dependence
