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内观疗法与健康教育对酒依赖患者临床疗效的对照研究
引用本文:袁燕亭,张勤峰,任清涛,路英智.内观疗法与健康教育对酒依赖患者临床疗效的对照研究[J].中国行为医学科学,2013(11):1010-1013.
作者姓名:袁燕亭  张勤峰  任清涛  路英智
作者单位:淄博市精神卫生中心临床心理科,淄博255100
摘    要:目的探讨内观疗法联合一般药物治疗与健康教育联合一般药物治疗酒依赖的临床疗效。方法将66例酒依赖男性患者应用随机数字表法分为研究组(33例)和对照组(33例),两组患者均服用一般性药物治疗,研究组给予内观治疗(包括集中内观和分散内观),对照组给予健康教育(包括集体健康教育和个别健康教育)。治疗时间为4周,总小时数分别为55.5h、56h。用强制性饮酒问卷(OCDS),社会支持量表(SSRS),明尼苏达多项人格测验(MMPI)对两组进行疗前疗后的比较,并与出院3个月后进行随访复饮率。结果①疗后研究组OCDS评分低于对照组,差异有统计学意义(48.21±2.05)分,(54.15±2.01)分,t=11.885,P〈0.01]。②治疗后研究组SSRS量表总分、客观支持、主观支持、社会利用度因子分高于对照组,均差异有统计学意义(49.05±5.63)分,(40.15±6.50)分,t=5.946,P=0.000];(14.32±3.51)分,(8.72±6.22)分,t=4.504,,P〈0.05];(27.02±4.26)分,(19.45±4.92)分,t=6.682,P=0.000];(10.024-3.30)分,(7.52±3.86)分,t=2.828,P=0.006]。③两组的MMPI以精神分裂症(Sc)、偏执(Pa)、精神衰弱(Pt)、精神病态(Pd)即8/6/7/4模式为主,研究组疗后在Sc、Pa、Pd、Pt这四个维度上的原始分均低于对照组,除Pt外均差异有统计学意义(25.43±6.76)分,(29.01±6.72)分,卢2.158,P=0.035];(14.12+6.01)分,(18.32±6.42)分,t=2.744,P=0.008];(18.63±6.85)分,(23.29±6.12)分,t=2.342,P=0.022)。④两组戒酒成功的短期疗效差异:出院3个月后研究组复饮率13:33=39.39%,对照组为24:33=72.73%,差异有统计学意义(x2=7.44,P〈0.05)。结论内观疗法联合一般药物治疗酒依赖,从心理和生理两方面解决患者的酒依赖问题,其疗效优于健康教育联合一般药物治疗。

关 键 词:酒依赖  内观疗法  健康教育  疗效

A comparative study on clinical effect of Naukan therapy and health education in patients with alcohol de-pendence
YUAN Yan-ting,ZHANG Qin-feng,REN Qing-tao,LU Ying-zhi.A comparative study on clinical effect of Naukan therapy and health education in patients with alcohol de-pendence[J].Chinese Journal of Behavioral Medical Science,2013(11):1010-1013.
Authors:YUAN Yan-ting  ZHANG Qin-feng  REN Qing-tao  LU Ying-zhi
Institution:. Clinical Psychology Department, The Mental Health Center of Zibo City,Zibo 255100, China
Abstract:Objective To explore Naukan therapy and health education combined with drug treatment clinical efficacy in the treatment of alcohol dependence. Methods The 66 cases of male alcohol dependent pa- tients were randomly divided into study group (33 cases) and control group (33 cases), and both of patients were taking generic drugs.The study group was given Naukan treatment ( including centralized within concept and disper- sion Vipassana), and the control group received health education (including collective health education and indi- vidual health education). Duration of treatment was 4 weeks, the total number of hours were 55.5 h, 56 h. Obsess- ive compulsive drinking scale( OCDS), social support rating scale (SSRS), Minnesota muhiphasic personality in- ventory (MMPI) for the two groups before and after treatment; and follow-up the rate of recovery drink three months after hospital discharge.Results (1) OCDS score after treatment in the study group was lower than that in the control group,the difference was statistically significant ((48.21±2.05) vs. (54.15±2.01) , t= 11.885, P〈 0.01 ).(2)After treatment SSRS total score ,objective support, subjective support, social utilization factor scores were higher than those in the control group, and differences were statistically significant (( 49.05+5.63 )vs. (40.15 ± 6.50), t= 5.946, P= 0.000) ; ( ( 14.32±3.51 ) vs. ( 8.72±6.22), t= 4.504, P〈0.05) ; (27.02±4.26) vs. ( 19.45± 4.92), t=6.682, P=0.000;( 10.02±3.30)vs.( 7.52±3.86), t=2.828, P=0.006). (2)MMPI with schizophrenia (So) , paranoia (Pa) , mental weakness (Pt) , psyehopathy (Pd) ie 8/6/7/4 model-based in two groups, and So, Pa,Pd, Pt dimensions of the original sub in study group were lower than those in the control group after treatment, in addition to outside Pt differences were statistically significant((25.43±6.76) vs. (29.01±6.72), t= 2.158, P= 0.035 ; ( 14.12±6.01 ) vs. ( 18.32±6.42), t= 2.744, P= 0.008; (18.63±6.85) vs. ( 23.29±6.12), t= 2.342, P= 0.022). (4~Redrinking rate in study group was 39.39% (11/33), and 72.73% (24/33)in the control group, the difference was statistically significant( X2 = 7.44, P〈0.05 ) .Conclusion The Nankan therapy combined with gener- al drug treatment can solve the problem of patients with alcohol dependenceof alcohol dependence in the psycholog- ical and physiological aspects, and its efficacy is superior to general health education combined drug therapy.
Keywords:Alcohol dependence  Naukan therapy  Health education  Efficacy
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