正念减压训练对焦虑障碍患者病耻感的影响

The effect of mindfulness-based stress reduction on the stigma of patients with anxiety disorders

目的 探讨正念减压训练对焦虑障碍患者病耻感的影响。方法 选取2017年2月至2019年3月在合肥市第四人民医院神经症科病房接受治疗的焦虑障碍患者36例作为干预组。同时选取年龄、性别、文化程度、首发年龄、焦虑程度相匹配的焦虑障碍患者38例作为对照组,两组均进行康复活动训练,干预组在此基础之上进行每周2次共4周的正念减压训练,采用病耻感量表(SSMI-C)和汉密尔顿焦虑评分量表(HAMA)分别测评两组患者干预前后的病耻感和焦虑程度,评估干预效果。结果 干预后,干预组SSMI-C的歧视、病情掩饰因子分及病耻感总分与HAMA评分均低于干预前,且低于对照组(P <0.05)。干预组干预前后歧视因子分差值与HAMA差值存在相关(r=0.666, P=0.003)。结论 正念减压训练能有效降低焦虑障碍患者的病耻感,同时改善患者的焦虑症状。

Objectives to explore the effect of mindfulness-based stress reduction on stigma in patients with anxiety disorders.Meth-ods From February 2017 to March 2019,36 patients with anxiety disorder in the Neurology Ward of the Fourth People's Hospital of Hefei were selected as the intervention group.At The same time,38 patients with anxiety disorder matched inage,sex,educational level,age of the first episode and anxiety degree were selected as control group,both groups receivedrehabilitation activity training,and the intervention group received mindfulness-based stress reduction training twice a week for four weeks.Stigma Scale(SSMI-C)and Hamilton Anxiety Scale(HAMA)were used to evaluate the stigma and anxiety of the two groups before and after the intervention.Results After the intervention,the SSMI-C discrimination,illness concealment factor scores,stigma total score and HAMA score in the intervention group were lower than those before the intervention,and lower than those in the control group(P<0.05).Correlation analysis showed that there was significant correlation between the difference of discrimination factor score and the difference of HAMA score in the intervention group(R=0.666,P=0.003).Conclusions Mindfulness-based stress reduction training can effectively reduce the stigma of patients with anxiety disorder,and improve the anxiety symp-toms of patients,which is worthy of clinical application.