摘要
目的:分析住院森田疗法对酒精性肝病患者酒精依赖及认知行为的影响。方法:选择2014年1月-2016年12月我院收治的90例酒精性肝病患者作为研究对象,随机分为对照组与观察组各45例,两组均采用酒精性肝病常规对症处理,观察组加用住院森田疗法,采用症状自评量表(SCL-90)评定干预前后两组心理状态的变化,应用密西根酒精依赖调查量表(MSAT)评定患者酒精依赖程度的变化,采用Barratt冲动性量表、韦氏成人智力量表(WAIS)测定患者冲动行为及认知功能的变化,统计两组干预6个月后完全戒断率、复饮率及再住院率。结果:干预后,观察组强迫症状、抑郁、人际关系敏感、焦虑、精神病性维度评分均低于对照组,比较差异有统计学意义(t=-13.359,-9.116,-3.653,-6.701,-9.084;P<0.05);干预后,观察组MAST评分、Barratt冲动性量表均低于对照组,比较差异有统计学意义(t=-4.339,-7.271;P<0.05);干预后,观察组WAIS量表各维度评分均高于对照组,比较差异有统计学意义(t=7.573,5.763,5.072,4.257,2.797,4.131,4.537,4.627,8.103;P<0.05);观察组完全戒断率高于对照组,复饮率、再住院率均低于对照组,比较差异有统计学意义(χ~2=5.553,5.789,4.285;P<0.05)。结论:住院森田疗法可减轻酒精性肝病患者酒精依赖程度,改善患者认知行为,纠正其心理负面情绪,提升患者酒精完全戒断率,降低复饮率。
Objective:To analyze the effect of Morita therapy on alcohol dependence and cognitive behavior of patients with alcoholic liver disease.Methods:A total of 90 patients with alcoholic liver disease treated in our hospital from January 2014 to December 2016 were selected as the subjects and they were randomly divided into the control group and the observation group with 45 cases in each group.The two groups were given routine symptomatic treatment for alcoholic liver disease,and the observation group were additionally treated with Morita therapy.Changes in psychological state,alcohol dependence,impulsive behavior and cognitive function in the two groups before and after intervention were evaluated with the symptom checklist 90(SCL-90),Michigan Alcohol Dependence Questionnaire(MSAT),the Barratt Impulsivity Scale and Wechsler Adult Intelligence Scale(WAIS),respectively.The complete abstinence rates,relapse rates and readmission rates of the two groups were statistically analyzed after 6 months of intervention.Results:After the intervention,scores of obsessive-compulsive symptoms,depression,interpersonal sensitivity,anxiety and psychoticism in the observation group were lower than those in the control group(t=-13.359,-9.116,-3.653,-6.701,-9.084;P<0.05).The MAST score and the Barratt Impulsivity Scale score in the observation group after the intervention were lower than those in the control group(t=-4.339,-7.271;P<0.05).After the intervention,scores of different dimensions in WAIS in the observation group were all higher than those in the control group(t=7.573,5.763,5.072,4.257,2.797,4.131,4.537,4.627,8.103;P<0.05).The complete abstinence rate in the observation group was higher than that in the control group,and the relapse rate and readmission rate were all lower than those in the control group(χ~2=5.553,5.789,4.285;P<0.05).Conclusion:Morita therapy can reduce alcohol dependence of patients with alcoholic liver disease,improve their cognitive behavior,correct their psychological negative emotions,improve their comple
作者
梁雅林
程兵
LIANG Yalin;CHENG Bing(Outpatient Department Emergency Department,Luoyang Third People's Hospital,Luoyang 471002,China)
出处
《中国健康心理学杂志》
2019年第11期1691-1695,共5页
China Journal of Health Psychology
基金
河南省科技攻关项目(编号:201601067)
关键词
酒精性肝病
酒精依赖
森田疗法
认知行为
负面情绪
Alcoholic liver disease
Alcohol dependence
Morita therapy
Cognitive behavior
Negative emotion
