摘要
目的探讨内观认知疗法对酒依赖患者的临床疗效。方法将64例酒依赖患者应用随机数字表法分为研究组（32例）和对照组（32例）。两组患者仍服用原有药物治疗，其中研究组给予连续7d集中内观认知疗法（NaiKancognitivetherapy，NCT）。在治疗前和治疗后应用强制性饮酒问卷（OCDS）、症状自评量表（SCL-90）、护士观察量表（NOSIE）进行评定。结果①治疗后研究组OCDS评分[（49．51±1．63）分]，低于对照组[（53．92±1．82）分]，差异有统计学意义（P〈0．01）。②治疗后研究组SCL-90总分、人际关系、抑郁、焦虑因子分低于对照组，均差异有统计学意义（t=-2．413，P=0．019；t=-2．033，P=0．047：t=-2．065。P=0．044；t=-2．038，P=0．046）。③治疗后研究组NOSIE量表病情总估计、总积极因素评分[分别为（187．10±18．80）分，（78．51±12．22）分]，高于对照组[分别为（175．51±11．71）分，（68．22±11．87）分]，总消极因素评分（15．55±9．46）分低于对照组（20．51±9．33）分，均差异有统计学意义（P〈0．05）。结论内观认知疗法能有效降低酒依赖患者的饮酒渴求，减少饮酒相关问题。
Objective To explore the clinical efficacy of Naikan cognitive therapy（NCT） for alcohol de- pendent patients. Methods 64 cases of alcohol-dependent patients were randomly assigned to the study group （32 cases） and the control group （32 cases）. The study group was treated with NCT for successive 7 days on the basis of taking original drugs; and the control group was only given the original drug therapy. The obsessive compulsive drinking scale （OCDS）, self-report symptom inventory（SCL-90） ,nurses observation scale for inpatient evaluation（NOSIE） were administered to all subje,..ts at pre-and post-treatment. Results （1）After the treatments, the scores of OCDS in study group （49.51 ± 1.63 ） were lower than that in control group（53.92 ± 1.82） ,and the statistical difference had the significance （P 〈 0.0, ）. （2）After the treatments, the total scores and some factor scores of SCL-90 in study group were lower than in conu ol group （ t = - 2. 413, P = 0. 019 ; t = - 2. 033, P = 0. 047 ; t = - 2. 065, P = 0. 044 ; t = - 2. 038 ,0. 046） , and the difference was statistically significant. （3）After the treatments, in the study group, the scores of the total estimated factor and total positive factor（ 187.10± 18.80;78.51 ± 12.22） were higher than in control group （ 175.51 ± 11.71 ; 68.22 ± 11.87 ） , total negative factor score （ 15.55 ± 9.46） were lower than in control group （20.51 ± 9.33 ）, and the difference was statistically significant. Conclusion NCT can effectively inhibit alcohoi craving, and reduce the drinking wine relevant questions. It can help to improve psychological symptoms in patients with alcohol dependence,especially depression and anxious symptoms.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2013年第1期25-27,共3页
Chinese Journal of Behavioral Medicine and Brain Science
关键词
内观认知疗法
酒依赖
临床疗效
Naikan cognitive therapy
Alcohol dependence
Clinical efficacy
