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正念认知疗法治疗躯体症状障碍患者的临床疗效观察
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Abstract:
目的：探讨正念认知疗法治疗躯体症状障碍患者的有效性。方法：通过将60例躯体症状障碍患者随机分为心理干预联合西药组和单纯西药组，每组各30人，分别予以正念认知疗法进行心理干预联合服用草酸艾司西酞普兰和单纯使用草酸艾司西酞普兰治疗8周，评估治疗前后的广泛性焦虑量表(GAD-7)、患者健康问卷抑郁量表(PHQ-9)和躯体症状量表(PHQ-15)的减分率。结果：正念认知疗法联合草酸艾司西酞普兰组比单纯使用草酸艾司西酞普兰组在GAD-7、PHQ-9、PHQ-15方面均有显著改善(P < 0.05)。结论：正念认知疗法为躯体症状障碍的治疗提供了新的思路。
Objective: To investigate the effectiveness of mindfulness-based cognitive therapy in treating patients with somatic symptom disorder. Methods: Sixty patients with somatic symptom disorder were randomly divided into two groups, each with 30 patients, who received mindfulness-based cognitive therapy combined with psychological intervention and escitalopram (Lexapro) and received escitalopram alone for 8 weeks. The reduction rates of the Generalized Anxiety Disorder-7 Scale (GAD-7), Patient Health Questionnaire-9 Scale (PHQ-9), and Patient Health Questionnaire-15 Scale (PHQ-15) before and after treatment were evaluated. Results: The group that received mindfulness-based cognitive therapy combined with escitalopram showed significantly better improvement in GAD-7, PHQ-9, and PHQ-15 than the group that received escitalopram alone (P < 0.05). Conclusion: Mindfulness-based cognitive therapy provides a new perspective for the treatment of somatic symptom disorder.
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