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焦虑性神经症的心理与药物治疗 被引量:5

Psychology of anxiety neurosis and drug treatment
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摘要 目的 :探讨焦虑症的心理与药物治疗效果 .方法 :将明确诊断的焦虑症 1 2 3例 ,随机分为心理治疗组 (A组 ) 4 0例、药物治疗组 (B组 ) 4 2例、心理加药物治疗组 (C组 ) 4 1例 ,心理学量表采用SCL 90 .经 8wk治疗后分别进行治疗前后比较 .结果 :焦虑症多伴有恐惧、抑郁、人际敏感、强迫、躯体化等 .治疗效果以C组最佳 ,症状缓解率分别为 :A组 4 6 %、B组 5 8%、C组 89% ,C组与A ,B组比较有非常显著性差异(P <0 .0 1 ) .治疗后C组SCL 90的焦虑、恐怖、抑郁、强迫、人际敏感、躯体化等症状因子明显降低 (P <0 .0 1 ) .A ,B组各症状因子改变不明显 (P >0 .0 5 ) .结论 :焦虑症的治疗药物干预是必须的 。 AIM: To discuss the psychology of anxiety neurosis and drug treatment efficacy. METHODS: 123 clearly diagnosed anxiety neurosis sufferers were divided randomly into Group A (psychotherapy), Group B (drug treatment) and Group C (psychotherapy and drug treatment). Psychological measuring scale SCL 90 was adopted and the results were compared pretreatment and 8w post treatment. RESULTS: Anxiety neurosis was often accompanied with apprehensiveness, depression, personal relationship sensitivity, compulsion and somatization. Therapeutic efficacy of Group C was the best and the symptom remission rates were:Group A 46%, Group B 58% and Group C 89%. The rate of Group C was significantly different compared with those of Group A and Group B ( P <0.01). After treatment, the above mentioned symptoms in Group C reduced obviously ( P <0.01), whereas the changes of those in both Group A and Group B were not significant ( P >0.05). CONCLUSION: Though drug intervention is necessary, psychotherapy and drug treatment are the best regimens of therapy for anxiety neurosis.
出处 《第四军医大学学报》 北大核心 2004年第5期462-464,共3页 Journal of the Fourth Military Medical University
关键词 焦虑症 心理治疗 药物治疗 anxiety neurosis psychotherapy drug treatment
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参考文献3

  • 1[1]Rickels K, Rynn M. Pharmacotherapy of generalized anxiety disorder[J]. J Clin Psychiatry, 2002;63 (Suppl 14):9-16.
  • 2[2]Zamorski MA, Albucher RC. What to do when SSRIs fail: Eight strategies for optimizing treatment of panicdisorder[J]. Am Fam Physician, 2002;66(8):1477-1484.
  • 3[3]Wittchen HU, Kessler RC, Beesdo K, et al. Generalized anxiety and depression in primary care: prevalence, recognition, and management [J]. J Clin Psychiatry, 2002;63 (Suppl 8):24-34.

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