催眠疗法对焦虑症患者防御方式的影响研究

目的 探讨催眠疗法对焦虑症患者应对方式及防御方式的影响.方法 研究对象为门诊治疗的焦虑症患者,共138例患者入组,对照组和研究组按照随机顺序分别入组.对照组采用焦虑症常规治疗,研究组采用催眠疗法.采用防御方式问卷（DSQ）、简易应对方式问卷（SCSQ）、汉密顿焦虑量表（HAMA）、汉密顿抑郁量表（HAMD）,对焦虑症患者的防御方式变化和症状改变进行评估.结果 研究组治疗前后消极应对分、不成熟因子分有差异,差异有统计学意义（P＜0.05）;治疗后消极应对分、不成熟因子有差异,差异有统计学意义（P＜0.05）;对照组和研究组治疗前后HAMD、HAMA评分均有差异,差异有统计学意义（P＜0.05）;HAMA分与不成熟因子分成正相关（r=0.41,P＜0.05）.结论 催眠疗法可以改善焦虑症患者应对方式及防御方式。

Influence of Hypnosis Therapy on the Defense Way in Patients with Anxiety Disorder

Objective To study the influence of hypnosis therapy on the defense way in patients with anxiety disorder. Methods 138 patients with anxiety disorder in outpatient service were divided into study group and control group according to the set sequence. The study group was treated with hypnosis therapy and the control group was given routine cure. All patients were assessed by Defense Style Questionnaire （DSQ） , Simplified Coping Style Questionnaire （SCSQ）, Hamilton Depression Scale （HAMD）, and Hamilton Anxiety Scale （HAMA） . Results There were significant differences in negative coping and immature factor points before and after the intervention in the study group （P〈0.05） . In the 6th week, the difference of negative coping and immature factor points were significant between the two groups （P〈0.05） . The differences of HAMD and HAMA scores were significant between the two groups before and after treatment （P〈0.05） . There was a positive correlation between HAMA and immature factor points （r = 0.41, P〈0.05） . Conclusion Hypnosis therapy can improve the defense way and the coping style in patients with anxiety disorder.