认知行为治疗对广泛性焦虑症患者生活质量的影响

Effect of cognitive behavior therapy to quality of life of patients with generalized anxiety disorder

目的探讨认知行为治疗对广泛性焦虑症患者生活质量的影响。方法将72例广泛性焦虑症患者随机分为观察组和对照组各36例。两组均予以帕罗西汀系统治疗，观察组在此基础上予以认知行为治疗，疗程均为12周。采用Hailton焦虑量表（HAMA）及生活质量综合评定问卷（GQOLI-74）分别于治疗前及治疗12周末进行评定。结果治疗12周末，观察组患者的HAMA总分及躯体性焦虑、精神性焦虑评分均显著低于对照组（t=2．85、2．02、2．79，P〈0．05或P〈0．01）；而GQOLI-74总分及躯体功能、心理功能、社会功能3个维度评分则均显著高于对照组（t=3．88、2．68、2．99、2．11，P〈0．05或P〈0．01）。结论认知行为治疗不仅有助于改善广泛性焦虑症患者的焦虑症状，而且有助于提高广泛性焦虑症患者的生活质量。

Objective To explore the effect of cognitive behavior therapy to quality of life of patients with generalized anxiety disorder. Methods 72 patients with generalized anxiety disorder were randomly divided into observation group （36） and control group （36） . They were treated with paroxetine and the patients of observation group were given cognitive behavior therapy. The study was conducted for 12 weeks, Hamihon Anxiety Scale （HAMA） and Generic Quality of Life Inventory （GQOLI -74） were evaluated. Results The total score of HAMA, scores of physical anxiety and mental anxiety of observation group were lower than those of control group before and after treatment （ P 〈 0. 05 or P 〈 0.01 ）, hut the total score of GQOLI - 74, scores of physical function, mental function and social function of observation group were higher than those of control group before and after treatment （ P 〈 0. 05 or P 〈 0. 01 ） . Conclusions Cognitive behavior therapy could improve anxiety symptoms of patients with generalized anxiety disorder and higher quality of life.