摘要
目的探讨森田疗法对住院神经症患者的治疗效果。方法选取100例住院神经症患者随机分为森田治疗组(只接受森田疗法)和药物治疗组(只接受药物治疗),各50例。于治疗前、治疗后第6、12周末及出院半年后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、康奈尔医学指数(CMI)、症状自评量表(SCL-90)、健康状况调查问卷(SF-36)对临床治疗效果进行评定。结果药物治疗组改善率低于森田治疗组(P<0.05),不良反应发生率高于森田治疗组(P<0.05);两组治疗后第6、12周末及出院半年时SAS、SDS评分较治疗前降低(P<0.05),CMI、SCL-90评分较治疗前升高(P<0.05);森田治疗组出院半年时SAS、SDS、CMI评分低于药物治疗组(P<0.05),SCL-90高于药物治疗组(P<0.05)。森田治疗组SF-36神经功能、心理职能、社会功能、生活功能因子评分高于药物治疗组(P<0.05)。结论森田疗法对住院神经症患者是一种有效的治疗方法。
Objective To explore the efficacy of Morita therapy in the treatment of inpatients with neurosis. Methods A total of 100 inpatients with neurosis were randomly divided into Morita treatment group（50 cases） with Morita therapy and drug treatment group（50 cases） only with drug therapy for the treatment of 12 weeks. They were assessed with Self-rating Anxiety Scale （SAS） , Self-rating Depression Scale （SDS） , Cornell Medical Index （CMI） , Symptom Checklist 90 （ SCL-90） and SF-36 for the clinical efficacy. Results The improvement rate of drug treatment group was lower than that in Morita treatment group （P 〈0.05） ; and the incidence rate of side effects in drug treatment group was higher than that in Morita treatment group （P 〈 0. 05）. At the end of the 6th ,12th week of treatment and after 6-month discharge, the scores of SAS,SDS were significantly lower than those before treatment in both groups （P 〈0. 05） ; and the scores of CMI and SCL-90 were significantly higher than those before treatment in both groups （ P 〈 0. 05 ）. After 6-month discharge, the scores of SAS,SDS and CMI in Morita treatment group were significantly lower than those in drug treatment group （P 〈0. 05） ; and the score of SCL-90 in Morita treatment group was significantly higher than that in drug treatment group （P 〈0. 05）. The factor scores of neurological function, psychological function, social function and life function of SF-36 in Morita treatment group were significantly higher than those in drug treatment group （P 〈 0. 05 ） . Conclusion Morita therapy is effective in the treatment of inpatients with neurosis.
出处
《精神医学杂志》
2017年第4期282-285,共4页
Journal of Psychiatry
基金
福建省龙岩市临床重点专科建设项目(编号:2015-xl-03)
