改良型内观疗法联合药物治疗青少年焦虑症的疗效

Efficacy of improved Naikan therapy combined with drugs on adolescents with anxiety

目的 探讨改良型内观疗法联合药物治疗青少年焦虑症的疗效。方法 将61例中山市人民医院心理门诊就诊的青少年焦虑症患者随机分为研究组（32例）和对照组（29例），研究组给予舍曲林联合改良型内观疗法治疗，对照组采用舍曲林及一般心理疏导治疗，所有患者均于治疗前、治疗后1周、4周和8周采用汉密尔顿焦虑量表（HAMA）、焦虑自评量表（SAS）和社会适应能力量表进行疗效评定。结果 两组患者的 HAMA及SAS治疗后1周、4周和 8周的评分均低于治疗前，差异有统计学意义（P＜0.05）；两组间比较，研究组治疗后1周、4周末和 8周的 HAMA和SAS评分均低于对照组，差异有统计学意义（P＜0.05）。两组患者的社会适应能力量表治疗后 1周、4周和 8周的评分均较治疗前升高，差异有统计学意义（P＜0.05）；两组间比较，研究组治疗后 1周、4周和 8周的评分均高于对照组，差异有统计学意义（P＜0.05）。结论 改良型内观疗法联合药物治疗对改善青少年焦虑障碍有明显疗效。

Objective To study the efficacy of improved Naikan therapy combined with durgs on adolescents with anxiety. Methods Totals of 61 adolescents with anxiety who were treated in Psychological Clinic,People’s Hospital of Zhongshan City were randomly divided into study group （n=32）and control group （n=29）. Patients in study group were treated with sertraline combined with improved Naikan therapy,while those in control group were treated with sertraline combined with general psychological counseling therapy. Hamilton Anxiety Rating Scale （HAMA）,Self-rating Anxiety Scale （SAS）and Diagnosis Scale of Social Adaptability were measured before and after 1,4 and 8 weeks’treatment on all patients. Results Scores of HAMA and SAS in both groups were significantly lower after 1,4 and 8 weeks’treatment（P〈 0.05）. Scores of HAMA and SAS after 1,4 and 8 weeks’treatment in study group were significantly lower than that in control group （P〈 0.05）. Scores of Diagnosis Scale of Social Adaptability in both groups were significantly higher after 1,4 and 8 weeks’ treatment（P〈 0.05）. Scores of Diagnosis Scale of Social Adaptability after 1,4 and 8 weeks’treatment in study group were significantly higher than that in control group （P〈 0.05）. Conclusions The efficacy of improved Naikan therapy combined with drugs is obvious.