理性情绪疗法治疗广泛性焦虑63例对照研究

A study of rational-emotive therapy in the treatment of general anxiety disorder

目的观察理性情绪疗法在广泛性焦虑治疗中的效果。方法将63例广泛性焦虑患者随机分为2组，对照组31例单用帕罗西汀治疗，研究组32例采用理性情绪疗法合并帕罗西汀治疗。疾病严重程度及疗效采用汉密顿焦虑量表（HAMA）评定，进行为期6周的治疗。随访1年。结果2组疗效比较2周前无显著差异，但4～6周有显著差异（P〈0．05），随访1年有显著性差异（P〈0．01）。研究组疗效明显优于对照组。结论帕罗西汀合并理性情绪疗法对广泛性焦虑的疗效比单纯用帕罗西汀更有效。

Objective To explore the effects of rational-emotive therapy in the treatment of general anxiety disorder. Methods Sixty-three patients with general anxiety disorder were randomly divided into study group （32 cases） and control group （31 cases）. Study group was treated with rational-emotive therapy and paroxetine; control group was only treated with paroxetine. The efficacy was assessed with Hamilton anxiety scale （HAMA）. Two groups were treated for 6 weeks and followed up for one year. Results There was no significant difference in the curative effect between 2 groups 2 weeks before, the efficacy had more significant difference at 4-6 weeks （P〈0. 05）, and had most significant difference in the end of followed-up（P〈0. 01）. Conclusion Combined of rationemotion therapy and paroxetine has better effect than paroxetine in the treatment of general anxiety disorder.