摘要
目的探讨团体认知行为治疗对青少年焦虑障碍的干预效果。方法选择2012年1月~2014年8月在我院接受诊治的青少年焦虑障碍患者88例,随机分为对照组与观察组,每组各44例。两组患者均给予常规抗焦虑药物治疗但观察组合并团体认知行为治疗方案8周。8周后对两组患者的儿童焦虑量表（SCAS-C）、儿童自动思维量表（CATS）结果进行对比分析。结果两组患者在治疗前SCAS-C和CATS评分,组间无明显差异。治疗后两组的SCAS-C和CATS评分较治疗前均降低,且观察组SCAS-C总分和惊恐障碍、躯体伤害恐惧、分离焦虑、强迫症、社交恐惧、广泛性焦虑6个分量表评分均明显低于对照组,差异有显著性（P〈0.05）;观察组CATS总分和身体威胁、敌意、社交威胁、个人失败四个分量表评分均明显低于对照组,差异有统计学意义（P〈0.05）。结论在常规抗焦虑药物治疗的基础上,合并团体认知行为治疗可以更显著改善焦虑障碍青少年的焦虑症状,值得临床推广应用。
Objective To investigate the clinical effect of group cognitive behavior therapy on anxiety disorders in adolescents. Methods 88 adolescents with anxiety disorders were recruited in our hospital from January 2012 to August 2014. All the patients in the study were divided into the control group and the observation group randomly,44 cases for each. The two groups were treated with routine anxiolytic drugs,meanwhile the observation group were administered with group cognitive behavior therapy for 8 weeks on the basis of medical treatment,then comparing the scores of SCAS-C and CATS before and after therapy between the two groups. Results There was no significant differences of SCAS-C and CATS scores between the two groups before treatment（P0.05）.After treatment,the scores of SCAS-C and CATS in the two groups were both lower than that before treatment. Meanwhile after treatment,the total score of SCAS-C and the scores of 6 subscales including panic disorder,physical injury fear,separation anxiety,obsessive compulsive disorder,social phobia,generalized anxiety in the observation group were all lower than that in the control group,all the differences above were statistically significant（P0.05）. And the total score of CATS and the scores of 4 subscales that including physical threats,hostility,social threats,personal failures. in the observation group were all lower than that in the control group,all the differences above were statistically significant（P0.05）. ConclusionGroup cognitive behavior therapy on the basis of medical treatment can be more effective to improve anxiety symptoms of adolescents with anxiety disorders. It is Worthy of clinical promotion.
出处
《国际精神病学杂志》
2016年第4期639-641,661,共4页
Journal Of International Psychiatry
关键词
团体认知行为
青少年
焦虑
临床疗效
Group cognitive behavior therapy
Adolescent
Anxiety
Clinical effect
