中国现代医学杂志2017，Vol.27Issue(23)：57-60,4.DOI:10.3969/j.issn.1005-8982.2017.23.011
团体心理治疗对躯体形式障碍患者的影响
Effect of group psychotherapy on somatoform disorders
摘要
Abstract
Objective To evaluate the efficacy of team psychotherapy for early intervention of somatoform disorders. Methods According to a random number, 97 patients with somatoform disorders treated in Danzhou Agricultural Reclamation Nada Hospital from October 2014 to January 2015 were assigned into group A (32 cases who received team psychotherapy), group B (33 cases who received medication) and group C (32 cases who received both team psychotherapy and medication). The clinical efficacy, Somatoform Symptoms Screening Scale (Chinese version SOMS-7) score, Global Assessment Scale (GAS) score and Hamilton Depression Scale (HAMD) score were campared among the three groups. Results In the group A, the effective rate was 62.50%, the improvement rate was 81.25%; in the group B, the effective rate was 63.64%, the improvement rate was 84.85%; in the group C, the effective rate was 87.50%, the improvement rate was 96.88%, the effective rate and the improvement rate of the group C were higher than those of the groups A and B ( <0.05). Before treatment, there were no significant differences in the SOMS-7 score among the three groups ( >0.05). In the 48th week after treatment, the SOMS-7 score of the groups A, B and C was (10.44 ± 2.17),(10.72 ± 2.11) and (6.75 ± 2.09) respectively; the SOMS-7 score of the group C was lower than that of the group A and the group B ( <0.05). Before treatment, there were no significant differences in the GAS score among the three groups ( >0.05). In the 48th week after treatment, the GAS score of the groups A, B and C was (76.18 ± 5.44), (77.29 ± 5.19) and (84.25 ± 5.91) respectively; the GAS score of the group C was higher than that of the group A and the group B ( < 0.05). There were no significant differences in the HAMD score among the three groups before treatment ( >0.05). The HAMD score in the group C was lower than that in the group A and the group B ( <0.05), and the differences were statistically significant ( <0.05). Conclusions Combined use of group psychotherapy and drug has achieved remarkable success in the treatment of somatoform disorders, and can significantly improve patients' mental health and clinical symptoms.关键词
团体心理治疗/躯体形式障碍/干预/疗效Key words
group psychotherapy/somatoform disorders/intervention/efficacy分类
医药卫生引用本文复制引用
龚建兵,吴传东,刘向华..团体心理治疗对躯体形式障碍患者的影响[J].中国现代医学杂志,2017,27(23):57-60,4.基金项目
海南省医学科研基金资助项目(No:1421320.57A2004) （No:1421320.57A2004）
