首页|西酞普兰联合接纳承诺疗法对原发性肝癌患者负性情绪、心理灵活性以及应对能力的影响

西酞普兰联合接纳承诺疗法对原发性肝癌患者负性情绪、心理灵活性以及应对能力的影响

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目的 观察西酞普兰联合接纳承诺疗法在调节原发性肝癌患者负性情绪中的应用及其对心理灵活性以及应对能力的影响.方法 将我院96例原发性肝癌患者采用随机数字表法进行分组,对照组48例接受常规肝癌介入治疗联合接纳承诺疗法,观察组48例在对照组基础上联合西酞普兰治疗,对比两组患者负性情绪、心理灵活性以及应对能力变化和不良反应.结果 治疗后,观察组患者医院焦虑抑郁量表评分中焦虑、抑郁评分均较对照组患者低(P<0.05);观察组患者心理灵活性接纳与行动问卷量表及认知融合问卷量表评分均较对照组患者水平低(P<0.05);观察组医学应对问卷评分中应对水平高于对照组,屈服、回避评分低于对照组(P<0.05);两组不良反应比较差异无统计学意义(P>0.05).结论 西酞普兰联合接纳承诺疗法(ACT)能有效缓解原发性肝癌患者负性情绪,提升心理灵活性,增强应对能力,且不增加不良反应风险,值得进一步研究及推广.
Effects of Citalopram combined with acceptance commitment therapy on negative emotions,mental flexibility and coping ability in patients with primary liver cancer
Objective To observe the application of Citalopram combined with acceptance commitment therapy in regulating negative emotions in patients with primary liver cancer and its influence on mental flexibility and coping ability.Methods 96 patients with primary liver cancer in our hospital were divided by random number table method.48 patients in the control group received conventional interventional therapy for liver cancer combined with acceptance commitment therapy,and 48 patients in the observation group were combined with citalopram on the basis of the con-trol group.Negative emotions,psychological flexibility,coping ability changes and adverse reactions were compared between the two groups.Results After treatment,the scores of anxiety and depression in hospital Anxiety and depres-sion scale(HADS)in observation group were lower than those in control group(P<0.05).The scores of psychological Flexibility Acceptance and Action Questionnaire(AAQ-Ⅱ)and Cognitive Fusion Questionnaire(CFQ)in observation group were lower than those in control group(P<0.05).The scores of medical coping questionnaire(MCMQ)in the observation group were higher than those in the control group,and the scores of submission and avoidance were lower than those in the control group(P<0.05).There was no significant difference in adverse reactions between the two groups(P>0.05).Conclusion Citalopram combined with ACT therapy can effectively relieve negative emotions,improve mental flexibility and enhance coping ability in patients with primary liver cancer without increasing the risk of adverse reactions,which is worthy of further research and promotion.

CitalopramAcceptance of commitment therapyPrimary liver cancerPsychological flexibilityCoping ability

余令兵、王鹏、李晓蕾、徐兰玲

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商丘市立医院感染科(商丘,476000)

西酞普兰 接纳承诺疗法 原发性肝癌 心理灵活性 应对能力

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(6)