摘要
目的探讨心理干预对颅内肿瘤患者在接受伽玛刀治疗前情绪障碍的影响。方法采用认知行为疗法、刺激暴露疗法等心理干预措施,对260例存有心理负性情绪的颅内肿瘤患者进行伽玛刀治疗前的心理干预。采用症状自评量表(SCL90)、焦虑自评量表(SAS)、抑郁自评量表(SDS),对干预前后进行测评和对照比较。结果干预前SCL90、SAS、SDS总分分别为69.12±34.26、40.24±10.28和42.48±12.72,与正常人群比较(41.13±22.36,30.16±8.02,32.98±9.13)差异有显著性(P<0.01);干预后患者SCL90、SAS、SDS总得分分别为49.36±31.22、32.16±7.08和36.166±7.98,与干预前比较差异显著(P<0.01)。结论对接受伽玛刀治疗的颅内肿瘤患者进行有针对性的术前心理干预,可以改善患者的焦虑、抑郁等负性情绪,对顺利进行伽玛刀治疗和康复预后具有积极的意义。
ObjectiveTo examine the effects of psychological intervention on encephalic tumor patients with emotional disturbance before the gamma knife operation.MethodsTwo hundred sixty encephalic patients with emotional disturbance were included, who were screened out of 322 cases using Symptom Checklist 90 (SCL-90), Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS). A series of psychological intervention, such as cognition behavior therapy, exposure therapy and health education on the gamma knife operation and so on, were administrated to the subjects.ResultsThe scores of SCL 90, SAS and SDS in the subjects before the psychological interventions were 69.1±4.3,40.2±10.3 and 42.5 ±12.7, respectively, which were more than those in the norms (P<0.01). After psychological intervention for 3 days, those in the subjects significantly declined to 49.4±31.2, 32.2±7.1 and 36.2±7.9.ConclusionsThe psychological intervention before the gamma knife operation could improve emotional disturbance in the encephalic tumor patients.
出处
《中国行为医学科学》
CSCD
2005年第6期506-507,共2页
Chinese Journal of Behavioral Medical Science
