接纳承诺疗法对双相情感障碍患者疗效及社会功能的影响

The Influence of Acceptance Commitment Therapy on the Efficacy and Social Function of Patients with Bipolar Disorder

目的探讨接纳承诺疗法对双相情感障碍患者的疗效及社会功能。方法将60例双相情感障碍患者随机分为对照组和干预组,每组30人,对照组维持原有药物治疗,干预组在对照组之上引入接纳承诺疗法,均干预6周。干预前后分别对两组采用杨氏躁狂量表(The Young Mania Rating Scale,YMRS)﹑抑郁自评量表(Self-rating Depression Scale,SDS)评估症状程度﹑接纳与行为问卷第二版(Acceptance and Action Questionnaire-Ⅱ,AAQ-Ⅱ)评估心理灵活性﹑社会功能缺陷量表(Social Disability Screening Schedule,SDSS)评估社会功能﹑药物依从性量表(Morisky Medication Adherence Scale,MMAS)评估依从性。结果干预后干预组在AAQ-Ⅱ(t=70.598,P<0.05)及SDSS(t=41.608,P<0.05)评分与对照组比较差异有统计学意义。治疗前后,对照组AAQ-Ⅱ(t=-0.453,P>0.05)差异不显著;干预组YMRS(t=1.935,P<0.05)、SDS(t=3.695,P<0.05)、AAQ-Ⅱ(t=65.66,P<0.05)、SDSS(t=41.025,P<0.05)及MMAS(t=8.831,P<0.05)干预前后测差值差异具有统计学意义。结论接纳承诺疗法可以改善双相情感障碍患者的临床症状,提高心理灵活性,有效提高患者社会功能及服药依从性。

Objective To explore the efficacy and social function of acceptance commitment therapy(ACT)in patients with bipolar disorder.Methods Randomly divide 60 patients with bipolar disorder into control group and intervention group,30 people in each group,the control group maintained the original drug treatment,the intervention group introduced ACT above the control group,and all intervened for 6 weeks.Before and after the intervention,YMRS and SDS were used to evaluate the symptom level,AAQ-Ⅱto assess mental flexibility,SDSS to assess social function,and MMAS to assess medication compliance.Results After intervention,there were statistically significant differences between the intervention group in the AAQ-Ⅱ(t=70.598,P<0.05)and SDSS(t=41.608,P<0.05)scores compared with the control group.The control group AAQ-Ⅱ(t=-0.453,P>0.05)The difference between before and after test is not significant.In the intervention group,YMRS(t=1.935,P<0.05),SDS(t=3.695,P<0.05),AAQ-Ⅱ(t=65.66,P<0.05),SDSS(t=41.025,P<0.05)and MMAS(t=8.831,P<0.05).The difference in the difference between before and after intervention is statistically significant.Conclusion Accept commitment therapy can improve the clinical symptoms of patients with bipolar disorder,increase psychological flexibility,and effectively improve patients'social function and medication compliance.