首页|艾司西酞普兰联合团体正念减压治疗与团体认知行为治疗对广泛性焦虑障碍患者的影响

艾司西酞普兰联合团体正念减压治疗与团体认知行为治疗对广泛性焦虑障碍患者的影响

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目的:探讨艾司西酞普兰联合团体正念减压治疗(mindfulness based stress reduction,MBSR)及团体认知行为治疗(cognitive behavior therapy,CBT)对广泛性焦虑障碍(generalized anxiety disorder,GAD)患者的焦虑、抑郁症状的效果.方法:纳入2019 年10 月至2021 年10 月本院收治的GAD患者78 例,依编号随机法分为MBSR组(43 例)和CBT组(35 例).MBSR组给予口服艾司西酞普兰联合团体MBSR;CBT组给予口服艾司西酞普兰联合团体CBT.分别于基线时(T0)、8 周末(T1)、干预结束3 个月后(T2)用汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)测评2 组患者的焦虑、抑郁情况,并进行分析.结果:两组共完成63 例(MBSR组36 例,CBT组27 例).T0 时,2 组患者的HAMA、HAMD评分差异无统计学意义;T1、T2 时,2 组HAMA、HAMD评分均显著降低(P均<0.05);2 组间评分差异无统计学意义.结论:艾司西酞普兰联合团体正念减压治疗或团体认知行为治疗均能明显改善GAD患者的焦虑、抑郁水平,且持续有效.
Effect of escitalopram combined group mindfulness-based stress reduction and group cognitive behav-ioral therapy in patients with generalized anxiety disorder
Objective:To investigate the effect of Group Mindfulness Based Stress Reduction(MBSR)+escitalopram and Group Cognitive Behavior Therapy(CBT)+escitalopram on anxiety and depressive symptoms in patients with Generalized Anxiety Disorder(GAD).Method:According to the entry criteria,78 patients with GAD admitted to our hospital from October 2019 to October 2021 were randomly divided into MBSR group(43 patients)and CBT group(35 patients)by numbering method.MBSR:escitalopram+8 weeks of group MB-SR;CBT:escitalopram+8 weeks of group CBT.Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were evaluated and analyzed at baseline(T0),8 weeks(T1),and 3 months after the end of interven-tion(T2).Results:A total of 63 cases were completed in two groups,36 participants in the MBSR group and 27 participants in the CBT group completed the task.There were no differences in HAMA and HAMD at T0 be-tween the 2 groups.At T1 and T2,HAMA and HAMD scores in 2 groups were significantly lower than those at T0(all P<0.05),but there were no significant differences in the 2 groups at T1 and T2.Conclusion:Esc-citalopram combined with group MBSR or group CBT can significantly improve anxiety and depression in GAD patients,and they are continuously effective.

generalized anxiety disordermindfulness-based stress reductioncognitive behavioral therapyescitalopram

段登艾、王维、张勇辉、张志雄、陆香秀

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650224 云南省精神病医院

广泛性焦虑障碍 团体正念减压治疗 团体认知行为治疗 艾司西酞普兰

2024

临床精神医学杂志
南京医科大学附属脑科医院

临床精神医学杂志

CSTPCD
影响因子:1.108
ISSN:1005-3220
年,卷(期):2024.34(2)
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