焦虑性神经症的心理与药物治疗

目的:探讨焦虑症的心理与药物治疗效果. 方法:将明确诊断的焦虑症123例,随机分为心理治疗组(A组)40例、药物治疗组(B组)42例、心理加药物治疗组(C组)41例,心理学量表采用SCL-90. 经8 wk治疗后分别进行治疗前后比较. 结果:焦虑症多伴有恐惧、抑郁、人际敏感、强迫、躯体化等. 治疗效果以C组最佳,症状缓解率分别为:A组46%、B组58%、C组89%,C组与A,B组比较有非常显著性差异(P<0.01). 治疗后C组SCL-90的焦虑、恐怖、抑郁、强迫、人际敏感、躯体化等症状因子明显降低(P<0.01). A, B组各症状因子改变不明显(P>0.05). 结论:焦虑症的治疗药物干预是必须的,心理加药物治疗是焦虑症治疗的最佳方案.

Psychology of anxiety neurosis and drug treatment

AIM: To discuss the psychology of anxiety neurosis and drug treatment efficacy. METHODS: 123 clearly diagnosed anxiety neurosis sufferers were divided randomly into Group A (psychotherapy), Group B (drug treatment) and Group C (psychotherapy and drug treatment). Psychological measuring scale SCL 90 was adopted and the results were compared pretreatment and 8w post treatment. RESULTS: Anxiety neurosis was often accompanied with apprehensiveness, depression, personal relationship sensitivity, compulsion and somatization. Therapeutic efficacy of Group C was the best and the symptom remission rates were:Group A 46%, Group B 58% and Group C 89%. The rate of Group C was significantly different compared with those of Group A and Group B ( P <0.01). After treatment, the above mentioned symptoms in Group C reduced obviously ( P <0.01), whereas the changes of those in both Group A and Group B were not significant ( P >0.05). CONCLUSION: Though drug intervention is necessary, psychotherapy and drug treatment are the best regimens of therapy for anxiety neurosis.