对惊恐障碍患者进行心理干预的效果观察

The effect of psychological intervention on 22 patients with Panic Disorder

目的探讨心理干预对惊恐障碍患者的影响。方法对惊恐障碍患者42例，随机分为两组，进行为期4周的对照研究，分别实施医院常规治疗护理（对照组）和医院常规治疗护理联合心理干预（研究组）；采用症状自评量表（SCL-90）及汉密顿焦虑量表（HAMA）和汉密顿抑郁量表（HAMD）进行评定。结果研究组在4周心理干预后HAMA评分（7．83±3．12）分，对照组（11．42±4．02）分，两组比较有统计学意义（P〈0．01），研究组HAMD评分（19．45±3．92）分，对照组（18．67±4．33）分，两组比较有统计学意义（P〈0．01），研究组SCL-90评分中焦虑、抑郁，躯体化以及人际关系因子分明显低于对照组，有统计学意义（P〈0．05）。结论心理干预在改善惊恐障碍患者的焦虑、抑郁程度，改善认知及应对方式方面，具有积极的意义。

Objective To study the effect of psychological intervention on patients with Panic Disorder. Methods 42 patients with Panic Disorder were randomly divided into study group （ treated with abnormal nursing combined with psychological intervention）and control group （with abnormal nursing）for 4 weeks, and curative effects assessed by the SCL-90, HAMA and HAMD. Results There were significant differences in scores of the HAMA （ 7.83 ± 3.12 ） in study group than in control group （ 11.42 ± 4.02 ） （ P 〈 0. 01 ）, and that of in scores of the HAMD （19.45 ± 3.92）in study group than in control group（ 18.67 ± 4.33 ） at the end of 4th week（P 〈0. 01 ） ,and that of in scores of anxiety, depression, somatization, and personal relationship of the SCL-90 in study group than in control group at the end of 4th week （ P 〈 0. 05 ）. Conclusions Psychological intervention can improve the mental problems of patients with Panic Disorder, such as anxiety, depression, cognition and coping styles.