四川精神卫生2024，Vol.37Issue(1)：21-25,5.DOI:10.11886/scjsws20230614001
团体认知行为治疗对广泛性焦虑障碍的临床疗效及其对患者执行功能的影响
Effects of group cognitive behavioral therapy on clinical efficacy and executive function in patients with generalized anxiety disorder
摘要
Abstract
Background Previous studies have found that patients with generalized anxiety disorder(GAD)have impaired performance in executive function,and group cognitive behavioral therapy(CBT)has been shown to be effective in alleviating negative affect in patients with GAD,while its efficacy on executive function remains unclear.Objective To explore the efficacy of group CBT on anxiety symptom and executive function in GAD patients,so as to provide references for the rehabilitation program for GAD.Methods A total of 80 consecutive patients with GAD who were hospitalized in Sleep and Psychosomatic Medical Center of Shiyan Taihe Hospital from March 2021 to August 2022 and met the Diagnostic and Statistical Manual of Mental Disorders,fifth edition(DSM-5)diagnostic criteria for GAD were enrolled,and they were assigned into study group(n=40)and control group(n=40)using random number table methods.All patients were subjected to routine medication treatment and regular health education,based on this,study group received group CBT once a week(6 weeks,60 to 90 minutes per session).At the enrollment and after 6 weeks of treatment,patients were assessed using Hamilton Anxiety Scale(HAMA)and Frontal Assessment Battery(FAB).Results ANOVA with repeated measures on HAMA score revealed a significant time effect(F=1 870.320,P<0.01),no significant group effect and no significant time×group interaction effect(F=1.254,0.293,P>0.05).Significant time effect,group effect and time×group interaction effect were reported on FAB scores(F=311.190,4.399,7.021,P<0.05 or 0.01).Further analysis indicated that FAB scores of both groups after treatment were higher than those at baseline(t=200.569,115.401,P<0.01).And the FAB score of study group was higher than that of control group after treatment(t=-3.211,P<0.01).Conclusion Group CBT combined with medication treatment for GAD may alleviate the anxiety symptoms and improve executive function in GAD patients.关键词
团体认知行为治疗/广泛性焦虑障碍/执行功能Key words
Group cognitive behavioral therapy/Generalized anxiety disorder/Executive function分类
医药卫生引用本文复制引用
吕龙琴,穆敬平,廖恒,刘丽珠,王熙..团体认知行为治疗对广泛性焦虑障碍的临床疗效及其对患者执行功能的影响[J].四川精神卫生,2024,37(1):21-25,5.基金项目
十堰市科技局引导性科研项目(项目名称:团体认知行为治疗广泛性焦虑障碍的临床研究,项目编号:21Y21)Funded by Shiyan Science and Technology Bureau Pilot Scientific Research Project(number,21Y21) （项目名称:团体认知行为治疗广泛性焦虑障碍的临床研究,项目编号:21Y21）
