神经症患者的述情障碍与个性相关性研究

目的探讨神经症患者的述情障碍及其与个性相关性。方法采用多伦多述情障碍量表、艾森克个性问卷及症状自评量表对43例神经症患者进行评估,并与58名健康者进行对照分析。结果神经症患者多伦多述情障碍量表总分及因子1、因子2评分均显著高于正常对照组（P〈0．01）,多伦多述情障碍量表总分、因子1、因子2及因子4与症状自评量表评分均呈显著正相关（P〈0．05或0．01）;多伦多述情障碍量表因子3与症状自评量表评分除躯体化因子外均呈负相关;多伦多述情障碍量表因子2与艾森克个性问卷神经质评分呈显著正相关（P〈0．05）。结论神经症患者存在明显的述情障碍,与某些个性特质及症状有相关性。     

从肝论治心脏神经官能症探微

以中医脏腑的相关理论为基础,从心肝的生理病理联系论述心脏神经官能症从肝论治,并阐述心脏神经官能症从肝论治的病因病机及辨证论治方法。     

神经症与抑郁症的躯体化症状及经济损失比较

目的：比较神经症和抑郁症躯体症状的特点及经济损失。方法：对初次就诊的神经症和抑郁症患者,采用自编躯体症状的特点及经济负担调查问卷,调查躯体症状及经济损失状况。结果：二者躯体症状所占的比例差异无显著性,神经症组的病程显著长于抑郁症组,外院就诊次数也多于后组,从其他科至医学心理科就诊的时间间隔长。抑郁症组汉密尔顿焦虑量表（HAMA）精神焦虑因子分、汉密尔顿抑郁量表（HAMD）总分、体质量、认知障碍、日夜变化、阻滞、绝望感因子分均高于神经症组,焦虑／躯体化因子分低于神经症组。躯体症状组HAMA总分及躯体焦虑因子分、HAMD总分、焦虑／躯体化、体质量、睡眠障碍、绝望感因子分均高于无躯体症状组。神经症组的直接经济损失重于抑郁症组。结论：抑郁症、神经症的抑郁、焦虑、躯体症状的表现有各自特点,躯体症状会加重抑郁和焦虑症状,均造成很大的经济负担。     

氯丙咪嗪治疗强迫症双盲对照观察

我所于1984年6月至1985年1月。试用瑞士产氯丙咪嗪治疗强迫性神经症21例,并设多塞平(多虑平)治疗16例为对照组,作双盲对照观察。结果表明;氯丙咪嗪治疗强迫性神经症的疗效高于对照组。本药起效快、副作用小、口服方便。     

认知领悟疗法治疗难治性强迫性神经症的研究

目的 :观察认知领悟疗法治疗难治性强迫性神经症的疗效。方法 :将符合CCMD -2 -R强迫性神经症诊断标准的难治性强迫性神经症病人 60例 ,随机分为认知领悟疗法配合氟西汀治疗 30例 (研究组 )及单用氟西汀 30例 (对照组 ) ,采用Y -BOCS量表评定疗效。结果 :研究组和对照组显效率分别为 76.67%、46.67% ,经 χ2 检验 ,有统计学意义 (P <0 .0 5 )。且研究组于治疗 2周末Y -BOCS平均减分率达到35 .69% ,而对照组于治疗 6周末才达到 33.15 %。结论 :认知领悟疗法并氟西汀治疗可更有效地控制难治性强迫性神经症症状 ,改善预后     

Studies of long-term noopept and afobazol treatment in rats with learned helplessness neurosis

Long-lasting effects of new Russian psychotropic drugs Noopept and Afobazol on active avoidance conditioning and formation of learned helplessness neurosis were studied on an original experimental model in rats. Noopept eliminated the manifestations of learned helplessness after long-term (21-day) treatment by increasing the percent of trained animals. Afobazol was low effective in preventing manifestations of learned helplessness, but if used for a long time, it reduced the incidence of learned helplessness development by increasing the percent of untrained animals. __________ Translated from Byulleten’ Eksperimental’noi Biologii i Meditsiny, Vol. 142, No. 8, pp. 167–169, August, 2006     

大学生神经症影响因素的病例对照研究

目的；探讨大学生神经症发病的主要危险因素。方法：采用非条件Ｌｏｇｉｓｔｉｃ回归方法对１２１例神经症患者和５１６名健康者按性别分组分析。结果：性别不同，神经症发病的主要危险因素也不同。男生：与神经质、母亲文化偏低，娱乐体育等能力不良，经济物质基础较差相关。女生与神经质，内外倾，得到社会支持系统（保护因子），母亲拒绝否认，丧失社会支持系统相关。结论：研究神经症危险因素，要控制性别影响。     

A CONTROL STUDY OF CLINICAL THERAPEUTIC EFFECTS OF LASER-ACUPUNCTURE ON DEPRESSIVE NEUROSIS

In this study, there were 62 patients with depressive neurosis. AInong them, 31 caseswere treated by laseracupuncture, another 31 cases were treated by pharmacotherapy, such as Antide-pressants and Antianxietics. The course of treatment for each case was 21 days. The therapeutic ef-fects, which were comprehensively evaluated with Hamilton's Depression Scale (HAMD) and Hamil-ton's Anxiety Scale (HAMI) as well as Clinical Global Impression Scale (CGI) in combination withtraditional evaluation of clinical therapeutic effect, indicated that treating the depressive neurosis withlaser-acupuncture can obtain sound effects with a clinical effective rate of 90. 32 percent, markedly ef-fective rate of 67. 74 percent. The global scores of Hamilton's Depression Scale and Hamilton's Anxi-ety scale after treatment were obviously less than those before treatment (P<0.001 ), similar to theeffects of pharmacotherapy or even much better than those in pharmacotherapy group in some aspects.Treating with laser-acupuncture wa     

神经症患者催眠状态脑电图的变化

目的应用脑电图(EEG)探讨催眠状态的神经生物学性质。方法记录16例神经症患者催眠前和进入催眠状态后的EEG,进行自身对照比较。结果神经症患者进入催眠状态后,EEG背景节律α波频率减慢和波幅增高。结论催眠状态有相关神经生物学基础,值得进一步研究。     

皮肤电刺激合药物治疗神经症中焦虑症状临床观察

目的：观察皮肤电刺激治疗神经症中焦虑症状的临床疗效.方法：对39例神经症伴有明显焦虑症状的患者随机分为两组,分别采用单纯药物治疗（对照组）和加用皮肤电刺激治疗（研究组）,使用汉密尔顿焦虑量表（HAMA）在治疗前、治疗后第2、4、6、8周末进行评定.结果：两组治疗后第2、4、6、8周末HAMA评分与治疗前比较,P＜0.01;加用皮肤电刺激组治疗后第4、6、8周末HAMA评分下降较单纯药物组更明显（P＜0.05）,治疗8周末总显进率更高,成功撤除阿普唑仑的比例更高.结论：药物治疗加用皮肤电刺激治疗神经症的焦虑症状疗效更好.