改良森田疗法联合正念训练对广泛性焦虑障碍的随机对照试验

A randomized controlled trial of modified Morita therapy combined with self-help mindfulness training in patients with generalized anxiety disorders

目的:探索在改良森田疗法基础上联合正念训练对广泛性焦虑障碍的增效作用。方法:广泛性焦虑障碍住院患者150例,随机分成改良森田疗法联合正念训练组(联合组)和改良森田疗法对照组(单一组)各75例,最终联合组65例、单一组66例完成治疗。两组均接受药物治疗和改良森田疗法治疗,联合组同时加入正念训练,共5周。采用汉密顿焦虑量表(HAMA)、中文版神经症被束缚自评量表(SSTN)、五维度正念问卷(FFMQ)评估治疗效果。结果:5周治疗后,联合组HAMA、SSTN总分低于单一组,FFMQ总分高于单一组(均P<0.05)。结论:改良森田疗法联合正念训练对广泛性焦虑障碍患者的效果优于单用改良森田疗法。

Objective:To explore the synergistic effect of combined mindfulness training on generalized anxiety disorder based on Modified Morita therapy.Methods:Totally 150 inpatients with generalized anxiety disorder were recruited and randomly divided into Modified Morita therapy combined with mindfulness training group(combined group)and Modified Morita therapy control group(single group),with 75 cases in each group.Finally,65 cases in the combined group and 66 cases in the single group completed the study.Both groups received drug therapy and Modified Morita therapy,and the combined group received mindfulness training for 5 weeks.The Hamilton Anxiety Scale(HAMA),Chinese version of Self-rating Scale for the TORAWARE state of Neurosis(SSTN)and Five Facts Mindfulness Questionnaire(FFMQ)were used to evaluate the treatment effects before and after the intervention.Results:After 5 weeks of intervention,the total scores of HAMA and SSTN were lower in the combined group than in the single group,while the total scores of FFMQ were higher in the combined group than in the single group(Ps<0.05).Conclusion:It suggests that the effect of Modified Morita therapy combined with mindfulness training on patients with generalized anxiety disorder is better than that of Modified Morita therapy alone.