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家庭参与式心理干预对躯体化障碍患者的影响

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目的 观察家庭参与式心理干预对改善躯体化障碍患者不良情绪及预后情况的影响。方法 选取106 例躯体化障碍患者为研究对象,随机分为两组,每组53 例。常规组实施常规干预,试验组在常规组的干预基础上,联合实施家庭参与式心理干预。比较两组患者的不良情绪、睡眠质量、述情障碍、家属不确定感改善情况及预后情况。结果 在不同干预模式下,试验组的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分均低于常规组,差异有统计学意义(P<0。05);试验组的多伦多述情障碍量表(TAS)中Ⅰ~Ⅱ、Ⅲ~Ⅳ的因子评分均低于常规组(P<0。05);试验组的疾病不确定感家属量表(MUIS-FM)中不明确性、缺乏澄清、缺乏信息、不可预测性维度评分均低于常规组(P<0。05);试验组的不良预后发生率低于常规组(P<0。05)。结论 家庭参与式心理干预能促进躯体化障碍患者的不良情绪及述情障碍恢复,对提升患者睡眠、生活质量并改善预后情况均有积极意义。
Effects of family participatory psychological intervention in patients with somatization disorder
Objective To observe the effect of family participatory psychological intervention on improving the negative emotions and prognosis of patients with somatization disorders.Methods 106 patients with somatization disorders were selected as the study subjects and randomly divided into two groups,with 53 cases in each group.The routine group were received routine intervention,while the experimental group were received family participatory psychological intervention in addition to the routine group's intervention.The improvement of negative emotions,sleep quality,affective disorders,family uncertainty,and prognosis were compared between two groups of patients.Results Under different intervention modes,the Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)scores in the experimental group were lower than those in the control group,showing a statistically significant difference(P<0.05).The factor scores of I-II and III-IV in the Toronto Alexithymia Scale(TAS)in the experimental group were lower than those in the control group(P<0.05).The scores of uncertainty,lack of clarification,lack of information,and unpredictability dimensions in the Mishel Uncertainty in Illness Scale-Family Member Form(MUIS-FM)scale in the experimental group were lower than those in the conventional group(P<0.05).The incidence of poor prognosis in the experimental group was lower than that in the control group(P<0.05).Conclusion Family participatory psychological intervention promotes the recovery of negative emotions and alexithymia in patients with somatization disorders,and has positive significance in improving sleep,quality of life,and prognosis.

somatization disorderfamily participatory psychological interventionnegative emotionsalexithymiaprognostic situation

胡小丹、陈莉

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信阳一五四医院神经内科,信阳 464000

躯体化障碍 家庭参与式心理干预 不良情绪 述情障碍 预后情况

2024

华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
年,卷(期):2024.37(3)
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