团体心理治疗对住院神经症病人的影响

The Effect of Group Psychological Therapy on Hospitalized Patients with Neurosis

目的探讨团体心理治疗对住院神经症病人的影响。方法以65名神经症患者分为观察组和对照组,治疗时间为3个月,用明尼苏达多相人格量表(MMPI)评定,用SPSS 19.0软件进行统计分析。结果参加团体心理治疗的神经症患者在3个月后临床量表及人际关系量表分数均有显著性变化,其中临床量表中疑病症变化有非常显著性差异(t=0.39,P<0.01);精神病态变化有显著性差异(t=-0.61,P<0.05);人际关系量表中家庭冲突(t=-0.89,P<0.05)、社交退缩(t=-0.068,P<0.01)、社会参与(t=-1.59,P<0.01)、容忍性(t=-0.46,P<0.05)、爱发牢骚(t=-0.32,P<0.05)、要求过多(t=-1.22,P<0.05)、孤僻疏远(t=0.04,P<0.01)、喜爱浪漫(t=-1.48,P<0.01)、为人谦虚(t=-1.56,P<0.01)变化有显著性差异。结论团体心理治疗有助于提高住院神经症病人对自己问题的认识能力及适应能力,有助于改善其人际关系,为其出院后的社会功能恢复起到促进作用。

Objective To explore the effect of group psychotherapy on hospitalized patients with neurosis.Methods A total of 32 patients with neurosis were selected as observation group,33 patients with neurosis as control group,treatment time was three months,using the Minnesota Multiphasic Personality Inventory（MMPI）to evaluate,SPSS 19.0 software was used to carry out statistical testing.Results After three months,the hypochondriasis scores,the psychopathic scores,and the interpersonal relationship scale scores of patients in observation group showed significant changes,Such as Hypochondriasis（t=0.3,P0.01）,Psychopathy（t=-0.61,P0.05）,Family conflict（t=-0.89,P0.05）,Social withdrawal（t=-0.068,P0.01）,Tolerance（t=-0.46,P0.05）,Grumble（t=-0.32,P0.05）,Require excessive（t=-1.22,P0.05）,Eccentric score（t=0.04,P0.01）,Romance（t=-1.48,P0.01）,Humble（t=-1.56,P0.01）.Conclusion Group psychotherapy is helpful to improve the hospitalized patients with neurosis regarding their awareness of the problem and improve the ability to adapt.also help to improve their interpersonal relationship,which can promote the recovery of social function after patients discharge from the hospital.