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正念认知疗法在躯体形式障碍患者中的应用效果观察

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目的 观察正念认知疗法(MBCT)在躯体形式障碍患者中的应用效果.方法 将 102 例躯体形式障碍患者随机分为观察组和对照组,各 51 例.对照组患者给予常规药物治疗和放松训练,观察组患者在对照组的基础上联合MBCT,两组患者均连续治疗 8 周.比较两组患者临床疗效、焦虑症状[汉密顿焦虑量表(HAMA)评分]、抑郁症状[汉密顿抑郁量表(HAMD)评分]、精神症状[症状自评量表(SCL-90)评分].结果 观察组患者临床疗效总有效率高于对照组(P<0.05).治疗 4 周和 8 周后,两组患者HAMA、HAMD、SCL-90 评分较治疗前持续性降低,且观察组低于对照组(P<0.01).结论 在药物治疗和放松训练的基础上,联合MBCT治疗躯体形式障碍患者疗效显著,可以改善患者各种症状,值得临床推广.
Effect of MBCT in patients with somatoform disorder
Objective To observe the effect of mindfulness-based cognitive therapy(MBCT)in patients with somatoform disorders.Methods A total of 102 patients with somatoform disorders were randomly divided into observation and control group,with 51 ones in each.Controls received conventional medication and relaxation training and observation group was plus the MBCT on the basis of controls,continuously for 8 weeks.Such indexes were compared between two groups as clinical effects,anxious symptoms(Hamilton Anxiety Scale[HAMA]scores),depressive symptoms(Hamilton Depression Scale[HAMD]scores),and mental symptoms(Symptom Checklist-90[SCL-90]scores).Results The clinical total effective rate was higher in observation than control group(P<0.05).After 4 and 8 week treatment,the scores on the HAMA,HAMD and SCL-90 in both groups continuously lowered compared with pre-treatment and those were lower in observation than control group(P<0.01).Conclusion Conventional medication and relaxation training plus the MBCT has a remarkable effect in patients with somatoform disorders,can relieve various symptoms,and is worthy of clinical promotion.

mindfulness-based cognitive therapysomatoform disorderclinical efficacy

祁继鹏、平丽慧、王进进、黄华

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471000(河南·洛阳)洛阳市第五人民医院

正念认知疗法 躯体形式障碍 临床疗效

2025

临床心身疾病杂志
河南省精神病医院(新乡医学院第二附属医院)

临床心身疾病杂志

影响因子:1.01
ISSN:1672-187X
年,卷(期):2025.31(1)