认知行为治疗33例焦虑症临床分析

Clinical Analysis of Cognitive-behavior in Treatment of 33 Anxiety

目的观察认知行为治疗焦虑症的临床疗效和社会功能、生活满意度、生活质量改善情况。方法将明确诊断的33例焦虑症患者给予认知行为治疗,疗程12周,分别于治疗前和治疗结束时采用汉密顿焦虑量表(HAMA)评定患者的临床疗效,功能大体评定量表(GAF)、生活满意度量表(LSR)和生活质量综合评定问卷(GQOLI-74)评定患者的社会功能、生活满意度、生活质量情况。结果治疗后患者HAMA总分和因子分显著下降(P<0.001或0.005),显效率为67.86,患者社会功能、生活满意度和生活质量总分较治疗前显著提高(P<0.001),无明显不良反应。结论认知行为治疗焦虑症有较好的疗效,对患者的社会功能、生活满意度和生活质量均有明显改善。

Objective To observer the clinical effect, social function, life satisfaction and quality of life of Cognitive-behavior therapy on anxiety. Methods 33 patients with anxiety, who were diagnosed dearly, were treated by Cognitive-behavior therapy. All patients were assessed by Hamiltion Anxiety Scale （HAMA）, Global Assessment Function （GAF）, Life Satisfaction Rating Seale （LSR） and Generic quality of Life Inventory-74 （GQOIL-74） pretreatment and 12W after treatment. Results The total scores and factor scores of HAMA were significantly lower than that of pretreatment （P〈0. 001 or 0. 005）, the clear effect was 67.86 %. There were significant improvement in the total scores of social function, life satisfaction and quality of life on anxiety （P〈0. 001）. There were not signifieant the side effeets. Conclusion Cognitive-behavlor therapy are good therapy in the treatment of anxiety with less side effects. The social function, the life satlsfaetion and the quality of life in patients with anxiety are significantly imoroved after treatment.