精神超脱与舍曲林治疗广泛性焦虑症对照研究

Comparative Study of the Detachment Psychotherapy and Sertraline in the Treatment of Generalized Anxiety Disorders

目的探讨精神超脱治疗焦虑症的作用。方法将54例符合标准的广泛性焦虑症患者随机分为两组,精神超脱治疗组26例,舍曲林组28例,治疗观察8周。分别于治疗前后采用汉密尔顿焦虑量表(HAMA)、状态特质焦虑问卷(STAI)进行评定及治疗后疗效自评。结果治疗后两组患者HAMA总分均较治疗前显著下降,同期比较精神超脱组较舍曲林组下降显著(t=3.06,2.8;P<0.01)。S-AI评分两组均明显减少,且以精神超脱组减分显著(t=3.66,2.70;P<0.01或<0.05);T-AI评分精神超脱组较治疗前及舍曲林组均出现明显差异(t=2.52,2.16;P<0.05)。自评疗效精神超脱组明显高于舍曲林组(χ2=6.34,P<0.05)。结论精神超脱治疗配合药物治疗焦虑症疗效满意,且对健全人格有积极意义。

Objective To evaluate the efficacy of the Detachment psychotherapy on anxiety disorders.Methods Fifth-four patients with generalized anxiety disorder were randomly assigned into the Detachment psychotherapy group（26 cases） and Sertraline group（28 cases）.Both groups were treated for 8 weeks.The patients were surveyed with S-TAL before and the end of treatment and the clinical effect were assessed at the end of treatment.Results After treatment,total scores of HAMA of both goups lowered more significantly compared with pretreatment,and those did more significantly in the Detachment psychotherapy group than those in the Sertraline group（t=3.06,2.8;P0.01）.After treatment,the scores of S-AI in both groups were significantly lower than before treatment（t=3.66 or 2.70,P0.01 or P0.05）.The scores of T-AI in the Detachment psychotherapy group were significantly difference than those in before treatment and Sertraline group（t=2.52 or 2.16,P0.05）.The selfsurvey efficacy in the Detachment psychotherapy was significantly differenct than that in Sertraline group（χ2=6.34,P0.05）.Conclusion The Detachment psychotherapy with drug may be a better choice to treat anxiety disorder,And it is positive to improve abnormal personality.