正念认知疗法在住院精神障碍患者中的应用效果

Application effect of mindfulness cognitive therapy in hospitalized patients with mental disorders

目的研究正念认知疗法在住院精神障碍患者中的应用效果。方法研究对象选取山东省聊城市第四人民医院精神科2014年12月~2017年8月收治的精神障碍患者60例,采取随机双盲法将其分为对照组和正念组,每组各30例。对照组患者采用常规治疗,在此基础上,正念组患者实施正念认知疗法。8周后,比较两组患者正念评价、阳性与阴性症状、抑郁症状、焦虑症状。结果治疗前,两组患者的阳性症状、阴性症状、一般精神病理、总分比较,差异无统计学意义(P>0.05);治疗8周后,两组患者的阳性症状、阴性症状、一般精神病理、总分均较治疗前改善,差异有统计学意义(P<0.05);治疗8周后,两组患者的阳性症状、阴性症状比较,差异无统计学意义(P>0.05),正念组患者一般精神病理、总分均低于对照组,差异有统计学意义(P<0.05)。治疗前,两组患者的正念五因素量表评分(FFMQ)、汉密尔顿抑郁量表评分(HAMD)-17、汉密尔顿焦虑量表评分(HAMA)比较,差异无统计学意义(P>0.05);经8周治疗,两组患者的FFMQ-17、HAMD、HAMA均较治疗前改善,差异有统计学意义(P<0.05);治疗8周后,正念组患者FFMQ高于对照组,正念组患者HAMD-17、HAMA均低于对照组,差异有统计学意义(P<0.05)。结论正念认知疗法可有效改善精神障碍患者认知水平,缓解患者负面心理情绪,值得推广。

Objective To study the application effect of mindfulness cognitive therapy in hospitalized patients with mental disorders.Methods From December 2014 to August 2017,60 patients with mental disorders admitted to the Department of Psychiatry of the Fourth People′s Hospital of Liaocheng City in Shandong Province were randomly divided into the control group and the righteous thought group.Patients in the control group were treated with conventional therapy.On this basis,patients in the righteous thought group were treated with mindfulness cognitive therapy.After 8 weeks,the righteousness evaluation,positive and negative symptoms,depressive symptoms and anxiety symptoms were compared between the two groups.Results Before treatment,the positive symptoms,negative symptoms,general psychopathology,and total scores of the two groups were not significantly different(P>0.05).After 8 weeks of treatment,the positive symptoms,negative symptoms,general psychopathology,and total scores of the two groups were improved compared with those before treatment(P<0.05).After 8 weeks of treatment,there was no statistically significant difference in positive and negative symptoms between the two groups(P>0.05),the general psychopathology and total scores of the patients in the righteous group were lower than those in the control group,and the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in FFMQ,HAMD-17,and HAMA between the two groups(P>0.05).After 8 weeks of treatment,the score of five facet mindfulness questionnaire(FFMQ),Hamilton depression scale(HAMD)-17 and Hamilton anxiety scale(HAMA)of the two groups were improved compared with those before treatment,and the differences were statistically significant(P<0.05).After 8 weeks of treatment,the FFMQ of the patients in the righteous thought group was higher than that of the control group,the HAMD-17 and HAMA of the patients in the righteous thought group were lower than the control group,and the differences were statistically significant(P<0.05).Conclusion Mindfulness cognitive therapy can effectively improve the cognitive level of patients with mental disorders and alleviate the negative psychological emotions of patients,which is worth promoting.