艾滋病疑病症患者的心理研究及心理综合疗法应用

Psychological research in suspected AIDS patients and application of comprehensive psychological therapy

目的:对艾滋病疑病症患者进行心理研究,并考察以森田疗法为主的心理综合疗法对患者的疗效。方法:采用90项症状自评量表(SCL-90)和汉密尔顿抑郁量表(HAMD)对60例艾滋病疑病症患者进行心理研究,并采用"森田疗法"为主的心理综合疗法对患者进行治疗,分别于治疗前、后检测患者血中5-羟色胺(5-HT)和去甲肾上腺素(NE)的水平作为疗效的评价指标。结果:60例艾滋病疑病症患者按SCL-90评分结果分为:混合型44例,强迫症型8例,疑病症型4例,恐惧症型4例;治愈率30.0%,显效率51.7%,总有效率81.7%;经治疗后SCL-90和HAMD评分比治疗前显著下降,5-HT和NE水平治疗后比治疗前显著上升(P<0.05)。结论:艾滋病疑病症患者的心理障碍可分混合型、强迫症型、疑病症型和恐惧症型,以混合型出现率最高;采用"森田疗法"为主的心理综合疗法治疗艾滋病疑病症,疗效明显。

Objectives：To study the psychological status of suspected AIDS patients,and investigate the efficacy of comprehensive psychological therapy like Sentian Treatment on patients.Methods：Using the symptom checklist 90 （SCL -90）and Hamilton Depression Scale （HAMD）to assess the psychological status of 60 suspected AIDS patients,and Sentian Treatment was used for treatment.The 5 -HT and norepinephrine （NE）level in pe-ripheral blood of patients were detected before and after treatment respectively as evaluation indexes of its curative effect.Results：According to SCL -90 scores,the 60 suspected AIDS patients were divided into 4 groups：44 cases of mixed type,8 cases of obsessive compulsive disorder,4 patients with hypochondriasis type,4 cases of phobic disorder;the cure rate,effective rate and total efficiency was 30%,51 .7% and 81 .7% respectively.After treat-ment,the SCL -90 and HAMD scores significantly decreased and 5 -HT and NE levels increased significantly （P＆lt;0.05）.Conclusion：The psychological disorder of suspected AIDS patients includes mixed type,obsessive com-pulsive disorder,hypochondria disorder and phobic disorder.Comprehensive psychological therapy like Sentian＆amp;nbsp;Treatment is of good curative effect in the treatment of suspected AIDS patients.