摘要
目的:探讨焦虑症的心理与药物治疗效果。方法:将明确诊断的焦虑症123例,随机分为心理治疗组40例、药物治疗组42例、心理加药物治疗组41例,心理学量表采用症状自评量表(SCL-90),经8周治疗后分别进行治疗前后比较。结果:焦虑症多伴有恐惧、抑郁、人际敏感、强迫、躯体化等。治疗效果以心理+药物治疗组最佳,症状缓解率分别为:心理治疗组46%、药物治疗组58%、心理+药物治疗组89%,心理+药物治疗组与心理治疗组和药物治疗组比较有非常显著性差异(P<0.01)。治疗后心理+药物治疗组SCL-90的焦虑、恐怖、抑郁、强迫、人际敏感、躯体化等症状因子明显降低(P<0.01),心理治疗组和药物治疗组各症状因子改变不明显(P>0.05)。结论:治疗焦虑症心理疗法药物干预是必须的,心理加药物治疗是焦虑症治疗的最佳方案。
AIM:To explore the effect of psychotherapy and drug treatment on anxiety neur osis. METHODS:A hundred and twenty- three patients with anxiety neurosis, who were diagnosed clearly,were randomly divided into psychotherapy group (group A,n=40) ,drug treatment group(group B,n=42) and psychotherapy combination drug treatment group(group C,n=41),psychological measuring scale SCL- 90 was used,the result were compared pretreatment and 8W after treatment. RESULTS:Anxiety neurosis was often accompanied with apprehensiveness, depress ion,sensitiveness in personal relationship,compulsion,somatization. The remissio n rate of symptoms in group B(89% ) and group C(58% ) were significantly diffe rent from that in group A(46% ) (P< 0.01).The scores of anxiety,apprehensivenes s,depression,sensitiveness in personal relationship,compulsion,somatization in S CL- 90 in group C decreased significantly, while those in group A and B didn't change obviously(P >0.05). CONCLUSION:Drug intervention is necessary to the treatment of anxiety neurosi s,and the combination of psychotherapy and drug treatment is the best program.
出处
《中国临床康复》
CSCD
2004年第3期412-413,共2页
Chinese Journal of Clinical Rehabilitation
