认知行为治疗结合音乐放松疗法矫治社交焦虑障碍的疗效分析

Effects of Cognitive Behavioral Therapy Combined with Music Therapy on Social Anxiety Disorder

目的:探索认知行为治疗(CBT)结合音乐放松疗法(MT)矫治社交焦虑障碍(SAD)的效果。方法:SAD患者116例(脱落8例)随机分为CBT组37例、MT组38例和联合组33例,分别采用CBT、MT和CBT联合MT治疗8周。结果:与干预前比较,CBT和联合组的社交焦虑量表评分分别自治疗第4、2周末差异有统计学意义(P<0.05);MT组除第4周末外其它时间点差异有统计学意义(P<0.05)。在不同的时间点,与联合组比较,在治疗第2周末,仅CBT组社交焦虑量表评分差异有统计学意义(P<0.05);第4周末,CBT组和MT组均差异有统计学意义(P<0.05);第6、8周末,仅MT组差异有统计学意义(P<0.05)。结论:CBT联合MT治疗SAD,起效快,疗效好。

Objective：To explore the effects of cognitive behavioral therapy （CBT） combined with music therapy （MT） on social anxiety disorder （SAD）. Methods： One hundred and sixteen patients （8 cases lost） with SAD were randomly divided into CBT group （n=37）, MT group （n=38） and combination group （n=33）, which received CBT, MT or CBT combined MT treatment for 8 weeks respectively. Results： Compared with those in combination group, at the end of the 2nd week scores of anxiety in the CBT group was significantly improved （P〈0.05）. At the end of 4th week, scores of anxiety in the group CBT and MT were significantly different （P〈0.05）. However, at the end of the 6th and 8th week, scores of anxi- ety in the group MT was significantly different （P〈0.05）. Conclusion： CBT combined with MT is effective for SAD.