团体接纳承诺疗法对双相情感障碍缓解期患者社会功能的干预效果分析

The intervention of Group Acceptance and Commitment Therapy(ACT)for social function of patients with bipolar disorder(BD）

目的探讨接纳承诺疗法(ACT)对双相情感障碍(BD)缓解期患者社会功能的干预效果。方法将60例双相情感障碍缓解期患者随机分为两组,对照组(30例)维持原有治疗,ACT干预实验组(30例)在对照组基础之上,依据ACT制定干预方案,每周进行2次团体干预,每次1.5h,均干预5周。干预前后对两组均分别采用YMRS、SDS评估症状,SDSS评估患者社会功能,CFQ评估团体ACT干预效果。结果 ACT干预组CFQ(t=8.83,P<0.05)、SDSS(t=10.04,P<0.05)前后测比较以及对照组SDSS(t=3.02,P<0.05)前后测比较差异显著,对照组CFQ(t=-0.77,P>0.05)前后测比较差异不显著;ACT干预组SDSS(t=-4.61,P<0.05)、CFQ(t=-8.10,P<0.05)干预前后测差值差异具有统计学意义。结论 ACT能在减轻症状的同时,降低BD患者认知融合程度,提升患者心理灵活性,改善患者社会功能受损程度。

Objective To investigate the effect of Acceptance and Commitment Therapy(ACT)on the social function in patients with bipolar disorder(BD). Methods Sixty patients with remission of bipolar disorder were randomly divided into two groups. The control group(30 cases)maintained the original treatment,and the ACT intervention group(30 cases)was based on the control group. Group interventions were performed twice a week for 1.5 hours each and for 5 weeks. Before and after intervention,the symptoms were evaluated by YMRS and SDS,SDSS was used to evaluate the social function,and CFQ was used to evaluate the effect of group ACT intervention. Results The ACT intervention group had significant differences between before and after treatment in CFQ(t=8.83,P<0.05)and SDSS(t=10.04,P<0.05),also in control group of SDSS(t=3.02,P<0.05). The difference of CFQ(t=-0.77,P>0.05)before and after treatment was not significant;the difference of the difference between SDSS(t=-4.61,P<0.05)and CFQ(t=-8.10,P<0.05)before and after intervention in ACT intervention group has statistical significant. Conclusion ACT can reduce the cognitive fusion of BD patients while reducing symptoms,improve the patient’s psychological flexibility,and improve the degree of social function impairment.