团体心理游戏治疗对神经症患者的影响

Effect of group psycho-game therapy on patient with neurosis

目的：观察团体心理游戏治疗对神经症患者的临床疗效。方法将72例神经症患者按住院先后顺序分为研究组36例和对照组36例，两组患者均依照医嘱服用药物治疗及进行心理健康教育，其中研究组在此基础上又给予10周的团体心理游戏治疗。采用明尼苏达多项人格测验（ MMPI）、团体心理治疗疗效因子问卷、护士观察量表（ NOSIE）于治疗前后评定两组效果。结果治疗前两组患者MMPI、NOSIE评分比较差异均无统计学意义（P＞0．05）；治疗后研究组MMPI量表中Hs、D、Hy、Pt、Si维度评分分别为（10．53±177;4．55），（27．23±177;5．02），（23．26±177;5．12），（18．25±177;7．21），（35．26±177;5．81）分，与对照组治疗后评分比较差异均有统计学意义（t值分别为2．951，3．261，3．116，3．146，2．116；P＜0．05）；研究组治疗前后Hs、D、Hy、Pd、Pa、Pt、Sc、Si分量表评分比较差异有统计学意义（ P＜0．05）；对照组治疗前后Hs、D、Hy、Pa、Pt分量表评分比较差异有统计学意义（ P ＜0．05）；研究组治疗后 NOSIE 总评分为（218．84±177;10．26）分，对照组为（195．30±177;21．35）分，两组比较差异有统计学意义（t＝5．958，P＜0．05）；治疗后两组患者NOSIE量表8个维度分量表分除个人整洁评分外差异均有统计学意义（P＜0．05）；研究组患者治疗前后团体心理治疗疗效因子问卷比较除认同、家庭重现外其他各因子评分差异均有统计学意义（P＜0．05）。结论团体心理游戏治疗对神经症患者有效控制临床症状，改善其人格缺陷，促进心理成长有较好疗效。

Objective To observe the clinical effect of group psycho -game therapy on patient with neurosis .Methods 72 cases of patient with neurosis were randomly divided into the study group and the control group, each with 36 cases.Both groups received drug treatment and psychological health education , and the study group was given 10 weeks of group psycho-game therapy in addition .MMPI, group psycho-therapy factor questionnaire , NOSIE were used to evaluate the effect before and after treatment .Results There was no statistically significant difference of MMPI and NOSIE between two groups before treatment （P＆gt;0.05）.After treatment, the score of Hs, D, Hy, Pt, Si dimension of MMPI was respectively （10.53 ±177;4.55）,（27.23 ±177; 5.02）,（23.26 ±177;5.12）,（18.25 ±177;7.21）,（35.26 ±177;5.81）in the study group, which was significantly different from that in the control group （t=2.951,3.261,3.116,3.146,2.116, respectively; P＆lt;0.05）.There was statistically significant difference of Hs , D, Hy, Pd, Pa, Pt, Sc, Si dimension of MMPI before and after treatment in the study group （P〈0.05）.There was statistically significant difference of Hs , D, Hy, Pa, Pt dimension of MMPI before and after treatment in the control group （P〈0.05）.After treatment, the total score of NOSIE was （ 218 .84 ±177;10 .26 ） in the study group , and （ 195 .30 ±177;21 .35 ） in the control group , with statistically significant difference （t=5.958,P＆lt;0.05）.There was statistically significant difference of every dimension of NOSIE except personal cleanliness between two groups after treatment （P＆lt;0.05）.There was statistically significant difference of all factors except identity and family recurrence of group psycho -therapy factor questionnaire （P ＆lt;0.05）.Conclusions Group psycho-game therapy is effective to control clinical symptoms of patient with neurosis , improve their personality defects and promote their psychological growth .