探讨团体认知行为治疗对酒依赖患者的疗效

The efficacy of group cognitive behavioral therapy in patients with alcohol dependence

目的:探究团体认知行为治疗对酒依赖患者的疗效。方法:70例酒依赖患者作为研究组,70例酒依赖患者作为对照组,研究组10人为一小组,研究组接受团体认知行为治疗。在干预前后分别两组患者进行汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、多伦多述情障碍量表(TAS)、简易应对方式问卷(SCSQ)、一般自我效能感量表(GSES)和酒精使用障碍筛查量表(AUDIT)的评估。结果:①干预后研究组的HAMD和HAMA评分均较低于对照组;②干预后研究组的情感辨别不能因子、情感描述不能因子、外向性思维因子评分和TAS总分明显低于对照组;③干预后研究组积极应对评分明显高于对照组,消极应对评分明显低于对照组;④干预后研究组的GSES评分明显高于对照组;⑤一年后随访,干预后研究组的复饮率明显低于对照组,研究组的AUDIT评分显著低于对照组。结论:团体认知行为治疗可以改善酒依赖患者的抑郁焦虑情绪、述情障碍和应对方式,提升自我效能感,有利于降低复饮率。

Objective:To explore the efficacy of group cognitive behavioral therapy in patients with alcohol dependence. Methods:The 70 patients with alcohol dependence were included in the study group, and another 70 patients with alcohol dependence were recruited as the control group. The study group consisted of 10 people in a small group, and received group cognitive behavioral therapy. The two groups were evaluated using the Hamilton Depression Scale(HAMD),the Hamilton Anxiety Scale(HAMA),the Toronto Alexithymia Scale(TAS),the Simple coping style questionnaire(SCSQ),the General Self-Efficacy Scale(GSES) and the Alcohol Use Disorders Identification Test(AUDIT) before and after the intervention. Results:①The score of HAMD and HAMA in the study group were lower than those in the control group after the intervention;②The score of Inability to identify emotions factor, inability to describe emotions factor, and extraversion thinking factor and total score of TAS were significantly lower than the control group after the intervention;③After the intervention, the score of positive response was significantly higher than the control group, and the score of negative response was significantly lower than the control group;④The score of GSES in the study group was significantly higher than that in the control group after the intervention;⑤After one year follow-up, the rate of re-drinking in the study group was significantly lower than that in the control group, and the score of AUDIT in the study group was significantly lower than that in the control group. Conclusion:The group cognitive behavioral therapy can improve depression, anxiety, alexithymia and coping styles, improve self-efficacy, and help to reduce the rate of re-drinking in alcohol-dependent patients.