认知行为治疗33例焦虑症临床分析

目的观察认知行为治疗焦虑症的临床疗效和社会功能、生活满意度、生活质量改善情况。方法将明确诊断的33例焦虑症患者给予认知行为治疗，疗程12周，分别于治疗前和治疗结束时采用汉密顿焦虑量表（HAMA）评定患者的临床疗效，功能大体评定量表（GAF）、生活满意度量表（LSR）和生活质量综合评定问卷（GQOLI-74）评定患者的社会功能、生活满意度、生活质量情况。结果治疗后患者HAMA总分和因子分显著下降（P〈0．001或0．005），显效率为67．86％，患者社会功能、生活满意度和生活质量总分较治疗前显著提高（P〈0．001），无明显不良反应。结论认知行为治疗焦虑症有较好的疗效，对患者的社会功能、生活满意度和生活质量均有明显改善。

Clinical Analysis of Cognitive-behavior in Treatment of 33 Anxiety

Objective To observer the clinical effect, social functio n, life satis faction and quality of life of Cognitive-behavior therapy on anxiety. M ethods 3 3 patients with anxiety, who were diagnosed clearly, were treated by Cognitive- b ehavior therapy. All patients were assessed by Hamiltion Anxiety Scale (HAMA), G lobal Assessment Function (GAF), Life Satisfaction Rating Scale (LSR) and Generi c quality of Life Inventory-74 (GQOIL-74) pretreatment and 12W after treatment. Results The total scores and factor scores of HAMA were signifi cantly lower tha n that of pretreatment (P<0.001 or 0.005), the clear effect was 67.86%. There w ere significant improvement in the total scores of social function, life satisfa ction and quality of life on anxiety (P<0.001). There were not significant the s ide effects. Conclusion Cognitive-behavior therapy are good the rapy in the treatment of anxiety with less side effects. The social function, th e life satisfaction and the quality of life in patients with anxiety are signifi cantly improved after treatment.