中国心理卫生杂志2012，Vol.26Issue(11)：808-813,6.DOI:10.3969/j.issn.1000-6729.2012.11.002
糖调节异常者认知行为团体心理治疗方案的编制及疗效
Development and efficacy of group cognitive behavioral therapy program in impaired glucose regulation patients
摘要
Abstract
Objective: To develop a group cognitive behavioral therapy program and to explore the effects of the program on glucose control and psychological condition in patients with impaired glucose regulation (IGR). Methods: The group cognitive behavioral therapy program was developed on the basis of interviews, literature analysis and expert panel discussion. Twenty-one patients with IGR were randomized into first group treated with group cognitive behavioral therapy (GCBT) combined with health education, and 17 patients with IGR were randomized into second group treated with health education as control. They were tested with the oral glucose tolerance test to test blood glucose level and assessed with the Self-Rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), Coping Styles Questionnaire ( CSQ) and Social Support Rating Scale ( SSRS) before and after treatments. Results: At the end of the therapy, the levels of fasting blood glucose [(5. 8 ± 0. 7) mmol/Lvs. (6. 6 ± 1. l)mmol/L] and blood glucose [(8.9 ±2. 3)mmol/L vs. (11.0 ±3. l)mmol/L] in the GCBT group decreased in the second hour after meal (Ps <0. 05). But the levels of fasting blood glucose [ (6. 1 ±0. 8) mmol/Lvs. (6. 2 ± 0. 7) mmoI/L] and blood glucose [(9. 2 ± 2. 8) mmol/Lvs. (9. 1 ± 2. 2) mmoi/L] changed little in the control group (Ps >0. 05). The scores of SDS [(40. 2 ±5.4) vs. (45. 3 ±9. 6)] and SAS [(32. 5 ±4.2) vs. (37. 9 ±8. 3)] decreased, and the SSRS total scores [(41. 0 ±8. 0) vs. (39. 5 ±8. 0)] and subjective support scores [(22. 8 ±3. 9) vs. (19. 6 ± 3. 9) ] increased in the GCBT group (Ps < 0.05), white those in the controi group changed little ( Ps > 0. 05). Conclusion: It suggests that the group cognitive behavioral therapy could effectively improve blood glucose level, depression, anxiety and social support in impaired glucose regulation patients.关键词
糖调节异常/认知行为团体治疗/方案编制/疗效/临床试验Key words
impaired glucose regulation/ group cognitive behavioral therapy/ development of the program/ efficacy/ clinical trials分类
医药卫生引用本文复制引用
卢勤,张岚,李旭,李晓靖,陈蒂丝,廖红,宫飙,孙学礼..糖调节异常者认知行为团体心理治疗方案的编制及疗效[J].中国心理卫生杂志,2012,26(11):808-813,6.基金项目
国家科技支撑计划课题-心身疾病常见心理问题的识别与干预(2009BAI77B06) （2009BAI77B06）
