内观认知与综合干预疗法治疗酒依赖症复饮患者的对比研究

Comparison of efficacy of comprehensive intervention therapy and Nai Kan cognitive therapy in treatment of alcohol dependence

目的:对内观认知和以反复线索暴露为基础的综合干预疗法治疗酒依赖症复饮患者的疗效进行对比研究。方法:以60例酒依赖症复饮患者为研究对象分为综合干预组与内观认知组。在进行常规治疗基础上,综合干预组患者32例,采取以反复线索暴露为基础的综合干预治疗;内观认知组患者28例,采用内观认知疗法进行治疗。比较两组患者的治疗效果。结果:治疗后,两组患者的强制性饮酒问卷评分均明显改善(P<0.01);内观认知组患者强制性饮酒问卷评分较综合干预组降低更为显著(P<0.05),且症状自评量表评分较综合干预组降低更为显著,其中总分、躯体化、强迫等项目评分降低更为显著(P<0.05)。治疗后,内观认知组患者个人和社会功能量表评分较综合干预组无明显差异(P>0.05)。结论:内观认知疗法与以反复线索暴露为基础的综合干预疗法可以有效提高酒依赖症复饮患者的疗效,且无明显差异。

Objective:To compare and study efficacy of comprehensive intervention based on repeated cue-exposure therapy and NaiKan cognitive therapy in treatment of alcohol dependence. Methods:60 patients with alcohol dependence were selected and di-videdinto comprehensive intervention group ( n=32 ) and NaiKan cognitive therapy group ( n=28 ) . The comprehensive intervention group was given the comprehensive intervention based on repeated cue-exposure, while the NaiKan cognitive therapy group received the NaiKan cognitive therapy. The efficacies of the two groups were compared. Results:After the treatment, the scores of obsessive com-pulsive drinking scale(OCDS)in both groups were significantly improved (P<0. 01), and the comprehensive intervention therapy groups howed much more improvement (P<0. 05). Meanwhile, the SCL-90 of the NaiKan cognitive therapy group showed much more improvement, especially the total score and the factor scores of somatization, compulsion and the like. There were no significant differ-ences in the scores of personal and social function scales between the two groups (P>0. 05). Conclusions: Comprehensive interven-tion based on repeated cue-exposure therapy and NaiKan cognitive therapy may perform the similar value in the treatment of alcohol de-pendence with no significant differences.