心理干预联合放松训练在广泛性焦虑障碍治疗中的应用效果分析

The application effect analysis on psychological intervention combine with relaxation training for generalized anxiety disorder

目的:探讨心理干预联合放松训练对广泛性焦虑障碍(GAD)患者疗效的影响。方法:将64例广泛性焦虑患者随机分为实验组和对照组,每组32例,对照组单纯使用抗焦虑药物,实验组在对照组的基础上加用心理干预联合放松训练。在患者应用放松训练前及放松训练的第1周、第2周、第3周分别用焦虑自评量表(SAS)、汉密尔顿焦虑量表(HAMA)、临床总体评价量表(CGI)进行疗效评定。结果:治疗3周后两组分别采用HAMA评分、SAS评分和CGI评分进行评估,发现两组患者得分均较治疗前有所下降,尤其是实验组在放松训练的第1周、第2周、第3周HAMA评分、SAS评分及CGI评分下降更明显,与对照组比较差异有统计学意义(P<0.01,P<0.05)。结论:对广泛性焦虑障碍患者的焦虑症状施以心理疏导联合放松疗法具有较好疗效,患者焦虑症状改善明显。

Objective： To investigate the influence of psychological intervention combined with relaxation training on hospitalized patients with generalized anxiety disorder. Methods： Sixty- four patients with generalized anxiety disorder were randomly divided into experimental group and control group,each group were 32 cases,with anti- anxiety medication alone in control group,and psychological intervention combined with relaxation training based on anti- anxiety drugs in experimental group. TO evaluate the efficacy during relaxation training of 1,2,3 weeks respectively with self- rating anxiety scale（ SAS）,hamilton anxiety scale（ HAMA）,clinical global assessment acale（ CGI）. Results： After three weeks respectively HAMA scores,SAS scores and CGI scores of the two groups all decreased,the scores of experimental group after relaxation training 1,2,3 weeks decreased significantly with the control group（ P〈 0. 05）. Conclusion： Psychological intervention combined with relaxation training have a remarkable effect on anxiety symptoms in patients with generalized anxiety disorder,which have a realistic promotional value.