团体认知行为治疗对康复期双相障碍患者的影响

The Effect of Cognitive Behavioral Group Therapy on Bipolar Disorder Patients at Recovery Stage

目的探讨团体认知行为治疗是否可以改善康复期双相障碍患者心理状态。方法 145例康复期双相障碍患者随机分为干预组和对照组,在原有药物治疗的基础上,分别进行团体认知行为治疗或普通聚会。结果两组在研究完成后,干预组的自我与经验的不和谐分量表和自我的刻板性分量表评分低于对照组,差异有统计学意义(分别为t=-1.989,-2.168;P<0.05);干预组SES的评分高于对照组,差异有统计学意义(t=3.524,P<0.01);干预组自我与经验的不和谐分量表评分低于治疗前,差异有统计学意义(t=56.817,P<0.01),SES在治疗后评分高于治疗前,差异有统计学意义(t=-59.406,P<0.01)。结论团体认知行为治疗可提高康复期双相障碍患者的自我与经验的和谐水平,改善刻板性;提高患者的自尊水平。

Objective To explore the effect of cognitive behavioral group therapy on bipolar disorder patients at recovery stage.Methods A total of 145 bipolar disorder patients at recovery stage were randomly assigned to the test group and control group,and received medication treatment combined with twice-weekly cognitive behavioral group therapy or ordinary meeting for five weeks respectively.Results The scores on disharmony between self and experience subscale,and stereotype subscale of the test group were significantly lower than those of the control group after the study,the scores on SES of the test group were significantly higher than those of the control group after the study（t=-1.989,-2.168;P0.05 respectively）;the decrease of the scores on disharmony between self and experience subscale in the test group had significant difference after the study（t=3.524,P0.01）,the increase of the scores on SES of the test group had significant difference after the study（t=56.817,P0.01）;the decreased scores on SES of the control group had significant difference after the study（t=-59.406,P0.01）.Conclusion Cognitive behavioral group therapy will raise the levels of self consistency and congruence,stereotype and self-esteem in bipolar disorder patients.