G-CBT联合MECT对有童年期创伤经历的双相情感障碍患者的临床效果
Clinical effect of G-CBT combined with MECT in the treatment of BAD with childhood trauma
朱利红 1何艳平 1杨宁波1
作者信息
- 1. 洛阳市第五人民医院儿童青少年科(洛阳,471000)
- 折叠
摘要
目的 探讨有童年期创伤经历的双相情感障碍患者采用无抽搐电休克治疗联合团体认知行为治疗的临床效果.方法 选取在本院接受治疗的有童年期创伤经历的双相情感障碍(bipolar affective disorder,BAD)患者100例,采用系统随机化法分为对照组和观察组,每组50例.对照组给予无抽搐电休克(Modified Electroconvulsive Therapy,MECT)治疗,观察组给予团体认知行为治疗(interactive group cognitive behavior therapy,G-CBT)联合 MECT 治疗,对比两组临床效果.结果 联合G-CBT治疗后,观察组精神疾病病耻感量表各维度评分及总分均显著低于对照组;观察组血清脑源性神经营养因子水平显著高于对照组,观察组17项汉密顿抑郁量表、杨氏躁狂评定量表、临床疗效总评量表病情严重程度评分均显著低于对照组.结论 在MECT基础上联合G-CBT治疗有童年创伤经历的BAD患者有可有效提高治疗依从性,利于改善精神状况、提高情绪认知能力.
Abstract
Objective To investigate the clinical effect of the application of group-cognitive behavioral therapy(G-CBT)combined with modified electroconvulsive therapy in bipolar affective disorder(BAD)patients with childhood trauma.Methods 100 bipolar affective disorder patients with childhood trauma who were treated in our hospital were selected and randomly divided into control group and observation group,50 cases in each group.The control group was treated with Modified Electroconvulsive Therapy,and the observation group was treated with interactive group cognitive behavior therapy combined with MECT,the clinical effects of the two groups were compared.Results After joint G-CBT treatment,each dimensions and total scores of Internalized stigma of mental illness scale were significantly lower while treatment compliance was significantly better in the observation group than the control group(P＜0.05).Besides Hamilton Depression Scale-17,Young manic rating scale and clinical global impression scale-severity of illness were significantly lower while correct rates of facial emotion recognition including happy,sad,angry,shock(P＜0.05).Conclusion Combining G-CBT on the basis of MECT in the treatment of BAD patients with childhood trauma can effectively improve their treatment compliance,which was beneficial for the improvement of mental status and emotion recognition ability.
关键词
童年期创伤经历/双相情感障碍/团体认知行为治疗/无抽搐电休治疗Key words
Childhood trauma experience/Bipolar affective disorder/Group cognitive behavior therapy/Modi-fied electroconvulsive therapy引用本文复制引用
出版年
2024
NETL
NSTL
万方数据