心理疗法在疑病障碍患者中的应用研究(1)
【摘要】 目的：研究心理疗法在疑病障碍患者中的应用效果。方法：选择本院艾滋病门诊2012年3月-2014年5月接诊的67例疑病障碍患者，采用自愿原则将其分为对照组31例和研究组36例，对照组给予帕罗西汀治疗，研究组在对照组基础上联合认知心理疗法，治疗前后采用明尼苏达多项人格测验(MMPI)中疑病(HS)和抑郁(D)量表和症状自评量表SCL-90对两组患者的精神症状变化进行比较，并评价疗效。结果：研究组治疗后除敌对因子无明显变化外，躯体化、强迫症、焦虑、抑郁、人际关系、恐怖、偏执和精神病性评分均较治疗前明显降低，MMPI中HS和D量表评分均较治疗前明显降低(P<0.05)。研究组治疗后躯体化、强迫症、焦虑、抑郁、人际关系、恐怖、偏执和精神病性八个因子评分均明显低于对照组，MMPI中HS和D量表T分均明显低于对照组(P<0.05)。研究组的治疗总有效率88.89%明显高于对照组的67.74%，差异有统计学意义( 字2=6.5417，P<0.05)。结论：疑病障碍是躯体心理性疾病，对疾病片面性认识和误解是发病的主要原因之一。在药物治疗的同时联合心理疗法可明显促进精神症状的改善，提高疗效，值得临床广泛推广。
, 百拇医药
【关键词】 心理疗法； 帕罗西汀； 艾滋病恐惧症； 应用效果
Application Research of Psychotherapy in Patients with Hypochondriacal Disorder/ZHAN Chao-yong.//Medical Innovation of China，2015，12(23)：128-130
【Abstract】 Objective：To study the application effects of psychotherapy in patients with hypochondriacal disorder.Method：67 patients with hypochondriacal disorder in AIDS clinic of our hospital from March 2012 to May 2014 were selected，by the voluntary principle，they were divided into the control group for 31 cases and the study group for 36 cases.The control group was given Paroxetine treatment，the study group was given cognitive psychotherapy on the basis of the control group.The changes of mental symptoms of patients between the two groups before and after treatment by Minnesota multiple personality test (MMPI) in hypochondriasis (HS) and depression(D) scale and the symptom checklist SCL-90 were compared，and evaluated the effect.Result：Except for hostility，the somatization，obsessive-compulsive disorder，anxiety，depression，interpersonal relationship，terror，paranoid and psychotic scores of the study group after treatment were significantly lower than before treatment，MMPI HS and D scale score of T were significantly lower than before treatment(P<0.05).The somatization，obsessive-compulsive disorder，anxiety，depression，interpersonal relationship，terror，paranoid and psychotic scores of the study group after treatment were significantly lower than the control group，MMPI HS and D scale score of T were significantly lower than the control group(P<0.05).The total effective rate of the studt group was 88.89%，which was significantly higher than 67.74% of the control group，the difference was statistically significant( 字2=6.5417，P<0.05).Conclusion：Hypochondriacal disorder is physical psychological diseases，one of the main causes of the disease is the understanding and misunderstanding of the disease.While the drug treatment combined with psychotherapy can obviously promote the improvement of psychiatric symptoms，improve curative effect，is worthy of clinical popularization., 百拇医药(詹潮勇)
, 百拇医药
【关键词】 心理疗法； 帕罗西汀； 艾滋病恐惧症； 应用效果
Application Research of Psychotherapy in Patients with Hypochondriacal Disorder/ZHAN Chao-yong.//Medical Innovation of China，2015，12(23)：128-130
【Abstract】 Objective：To study the application effects of psychotherapy in patients with hypochondriacal disorder.Method：67 patients with hypochondriacal disorder in AIDS clinic of our hospital from March 2012 to May 2014 were selected，by the voluntary principle，they were divided into the control group for 31 cases and the study group for 36 cases.The control group was given Paroxetine treatment，the study group was given cognitive psychotherapy on the basis of the control group.The changes of mental symptoms of patients between the two groups before and after treatment by Minnesota multiple personality test (MMPI) in hypochondriasis (HS) and depression(D) scale and the symptom checklist SCL-90 were compared，and evaluated the effect.Result：Except for hostility，the somatization，obsessive-compulsive disorder，anxiety，depression，interpersonal relationship，terror，paranoid and psychotic scores of the study group after treatment were significantly lower than before treatment，MMPI HS and D scale score of T were significantly lower than before treatment(P<0.05).The somatization，obsessive-compulsive disorder，anxiety，depression，interpersonal relationship，terror，paranoid and psychotic scores of the study group after treatment were significantly lower than the control group，MMPI HS and D scale score of T were significantly lower than the control group(P<0.05).The total effective rate of the studt group was 88.89%，which was significantly higher than 67.74% of the control group，the difference was statistically significant( 字2=6.5417，P<0.05).Conclusion：Hypochondriacal disorder is physical psychological diseases，one of the main causes of the disease is the understanding and misunderstanding of the disease.While the drug treatment combined with psychotherapy can obviously promote the improvement of psychiatric symptoms，improve curative effect，is worthy of clinical popularization., 百拇医药(詹潮勇)