酒依赖患者行认知治疗对SCL-90评分与PSQI评分的影响效果
|
摘要
目的了解酒依赖患者行认知治疗对症状自评量表(SCL-90)和匹兹堡睡眠质量指数(PSQI)量表评分的影响效果。方法采用随机数字表法将2017年1月—2018年6月中山市第三人民医院精神科收入的80例酒依赖患者分为接受常规治疗的对照组及在常规治疗基础上加用认知治疗的观察组各40例,对2组SCL-90评分(人际敏感、抑郁、焦虑、偏执、精神病状)、PSQI指数(睡眠质量、入睡时间、睡眠时间、睡眠效率)影响效果进行对比观察。结果治疗后观察组SCL-90评分中人际敏感(8.95±1.25)、抑郁(10.08±1.15)、焦虑(8.84±1.26)、偏执(7.77±1.08)、精神病状(9.78±1.08),PSQI指数中睡眠质量(0.78±0.12)、入睡时间(0.80±0.15)、睡眠时间(0.85±0.15)、睡眠效率(0.82±0.14),均低于对照组(12.37±1.23)、(13.28±1.12)、(11.59±1.21)、(10.34±1.06)、(12.85±1.05)、(1.34±0.10)、(1.36±0.14)、(1.40±0.20)、(1.39±0.11),差异均有统计学意义(均P<0.05)。结论酒依赖患者行认知治疗有助于改善其心理健康水平以及睡眠质量,值得在今后临床治疗工作中加以推广使用。
Objective To understand the effect of cognitive therapy on symptom check list-90(SCL-90) scores and Pittsburgh sleep quality index(PSQI) in alcohol dependent patients. Methods Random number table method,80 alcohol dependent patients who were treated in the Psychiatric Department of the Third People's Hospital of Zhongshan City from January 2017 to June 2018 were divided into the control group receiving conventional treatment and the observation group using cognitive therapy on the basis of conventional treatment,40 cases in each group. SCL-90 scores(interpersonal sensitivity,depression,anxiety,paranoia,psychiatric symptoms) and PSQI index scores(sleep quality,sleep latency,sleep quality,sleep efficiency) of the two groups were compared.Results After treatment,the SCL-90 scores,including interpersonal sensitivity(8.95±1.25),depression(10.08±1.15),anxiety(8.84±1.26),paranoia(7.77±1.08) and psychiatric symptoms(9.78±1.08),and PSQI index scores,including sleep quality(0.78±0.12),sleep latency(0.80 ±0.15),sleep quality(0.85 ±0.15),sleep efficiency(0.82 ±0.14),in the observation group were lower than those in the control group [(12.37±1.23),(13.28±1.12),(11.59±1.21),(10.34±1.06),(12.85±1.05),(1.34±0.10),(1.36±0.14),(1.40±0.20),(1.39±0.11)],and the differences were statistically significant(all P<0.05). Conclusion Cognitive therapy for alcohol dependence patients is helpful to improve their mental health and sleep quality. It is worth popularizing in clinical treatment in the future.
Objective To understand the effect of cognitive therapy on symptom check list-90(SCL-90) scores and Pittsburgh sleep quality index(PSQI) in alcohol dependent patients. Methods Random number table method,80 alcohol dependent patients who were treated in the Psychiatric Department of the Third People's Hospital of Zhongshan City from January 2017 to June 2018 were divided into the control group receiving conventional treatment and the observation group using cognitive therapy on the basis of conventional treatment,40 cases in each group. SCL-90 scores(interpersonal sensitivity,depression,anxiety,paranoia,psychiatric symptoms) and PSQI index scores(sleep quality,sleep latency,sleep quality,sleep efficiency) of the two groups were compared.Results After treatment,the SCL-90 scores,including interpersonal sensitivity(8.95±1.25),depression(10.08±1.15),anxiety(8.84±1.26),paranoia(7.77±1.08) and psychiatric symptoms(9.78±1.08),and PSQI index scores,including sleep quality(0.78±0.12),sleep latency(0.80 ±0.15),sleep quality(0.85 ±0.15),sleep efficiency(0.82 ±0.14),in the observation group were lower than those in the control group [(12.37±1.23),(13.28±1.12),(11.59±1.21),(10.34±1.06),(12.85±1.05),(1.34±0.10),(1.36±0.14),(1.40±0.20),(1.39±0.11)],and the differences were statistically significant(all P<0.05). Conclusion Cognitive therapy for alcohol dependence patients is helpful to improve their mental health and sleep quality. It is worth popularizing in clinical treatment in the future.
引文
[1]李月真,孙伟,倪照军,等.酒依赖患者戒断期睡眠呼吸暂停的特点[J].中国药物依赖性杂志,2018,27(2):104-109.
[2]曹秉蓉,陈娟,何英,等.65例酒精依赖患者认知功能损害相关影响因素的临床分析[J].华西医学,2017,32(5):731-735.
[3]董晓杰,刘学兵,杨永德,等.常规治疗联合综合心理干预对酒精依赖综合征患者负性情绪、复饮率和再住院率的影响[J].国际精神病学杂志,2018,45(1):111-113.
[4]高哲,王卓,曹秉蓉,等.四川省酒依赖患者康复后饮酒程度影响因素分析[J].四川大学学报(医学版),2018,49(2):264-270.
[5]杨清艳,牛雅娟,童永胜,等.男性酒依赖患者复饮情况及相关因素研究[J].中国神经精神疾病杂志,2016,42(6):370-373.
[6]贺文,江晨光,周振和,等.集中内观疗法对酒依赖患者内隐认知偏倚的影响[J].中国医药导报,2017,14(35):121-124.
[7]梁震韬,杨宇,高丽娟,等.内观认知疗法对男性酒依赖患者康复期心理渴求的治疗效果[J].职业与健康,2017,33(16):2247-2250.
[8]洪珊珊,赵中,韩伯军,等.酒依赖患者认知功能障碍的临床观察[J].中国临床心理学杂志,2017,25(1):79-81.
[9]张润琴,史俊研,孙丽丽.心理干预在酒依赖病人中的应用[J].护理研究,2016,30(35):4463-4464.
[10]周旭辉,刘学军,郭育君,等.伴攻击行为酒精依赖患者的神经认知功能特征性研究[J].中国药物依赖性杂志,2015,24(6):436-441.
[11]宁夔,孙伟力.认知功能的变化在酒依赖患者里的影响[J].世界最新医学信息文摘,2016,16(84):8.
[12]赵志强,王黎,靳新荣,等.某医院新疆维吾尔族酒精依赖患者冲动攻击行为危险因素的调查研究[J].中国药物依赖性杂志,2018,27(3):229-233.
[13]曹秉蓉,陈娟,何英,等.MoCA与MMSE在酒精依赖患者认知功能评估中的应用分析[J].国际精神病学杂志,2016,43(2):294-296.
[14]蒋璐繁,陶敏,郇业青,等.互助会心理团队干预对酒精依赖患者自愿戒酒后自我意识、潜在认知及酒依赖程度的影响[J].贵州医药,2017,41(1):88-90.
[15]ROOS CR,MAISTO SA,WITKIEWITZ K.Coping mediates the effects of cognitive-behavioral therapy for alcohol use disorder among out-patient clients in Project MATCH when dependence severity is high[J]. Addiction,2017,112(9):1547-1557.
[16]李璟,席巧真.男性酒依赖患者孤独感与社会支持状况分析[J].中国药物滥用防治杂志,2016,22(5):258-260.
[17]THAPINTA D,SKULPHAN S,KITSUMBAN V,et al.Cognitive Behavior Therapy Self-Help Booklet to Decrease Depression and Alcohol Use among People with Alcohol Dependence in Thailand[J].Issues Ment Health Nurs,2017,38(11):964-970.
[18]董仁强.认知行为治疗对酒依赖患者自我效能感和幸福感的影响[J].中国医药指南,2018,16(22):93.
[19]李建芬,鲁文兴,廖帮磊,等.集体治疗缓解酒依赖患者焦虑抑郁症状的初步评价[J].中国心理卫生杂志,2017,31(2):118-122.
[20]高哲,王卓,周晓波,等.生活事件对酒依赖患者戒断后复饮程度的影响研究[J].中国药物依赖性杂志,2017,26(3):200-204.
[21]史桂芹,周忠莲.行为转变干预模式在酒精所致精神障碍患者自我管理中的应用[J].当代护士(上旬刊),2016,11(10):114-116.
[22]黄弋冰,汪咏梅,徐莲英,等.康复期酒依赖患者复饮成因及干预策略研究[J].华北理工大学学报(医学版),2018,20(4):331-336.
[2]曹秉蓉,陈娟,何英,等.65例酒精依赖患者认知功能损害相关影响因素的临床分析[J].华西医学,2017,32(5):731-735.
[3]董晓杰,刘学兵,杨永德,等.常规治疗联合综合心理干预对酒精依赖综合征患者负性情绪、复饮率和再住院率的影响[J].国际精神病学杂志,2018,45(1):111-113.
[4]高哲,王卓,曹秉蓉,等.四川省酒依赖患者康复后饮酒程度影响因素分析[J].四川大学学报(医学版),2018,49(2):264-270.
[5]杨清艳,牛雅娟,童永胜,等.男性酒依赖患者复饮情况及相关因素研究[J].中国神经精神疾病杂志,2016,42(6):370-373.
[6]贺文,江晨光,周振和,等.集中内观疗法对酒依赖患者内隐认知偏倚的影响[J].中国医药导报,2017,14(35):121-124.
[7]梁震韬,杨宇,高丽娟,等.内观认知疗法对男性酒依赖患者康复期心理渴求的治疗效果[J].职业与健康,2017,33(16):2247-2250.
[8]洪珊珊,赵中,韩伯军,等.酒依赖患者认知功能障碍的临床观察[J].中国临床心理学杂志,2017,25(1):79-81.
[9]张润琴,史俊研,孙丽丽.心理干预在酒依赖病人中的应用[J].护理研究,2016,30(35):4463-4464.
[10]周旭辉,刘学军,郭育君,等.伴攻击行为酒精依赖患者的神经认知功能特征性研究[J].中国药物依赖性杂志,2015,24(6):436-441.
[11]宁夔,孙伟力.认知功能的变化在酒依赖患者里的影响[J].世界最新医学信息文摘,2016,16(84):8.
[12]赵志强,王黎,靳新荣,等.某医院新疆维吾尔族酒精依赖患者冲动攻击行为危险因素的调查研究[J].中国药物依赖性杂志,2018,27(3):229-233.
[13]曹秉蓉,陈娟,何英,等.MoCA与MMSE在酒精依赖患者认知功能评估中的应用分析[J].国际精神病学杂志,2016,43(2):294-296.
[14]蒋璐繁,陶敏,郇业青,等.互助会心理团队干预对酒精依赖患者自愿戒酒后自我意识、潜在认知及酒依赖程度的影响[J].贵州医药,2017,41(1):88-90.
[15]ROOS CR,MAISTO SA,WITKIEWITZ K.Coping mediates the effects of cognitive-behavioral therapy for alcohol use disorder among out-patient clients in Project MATCH when dependence severity is high[J]. Addiction,2017,112(9):1547-1557.
[16]李璟,席巧真.男性酒依赖患者孤独感与社会支持状况分析[J].中国药物滥用防治杂志,2016,22(5):258-260.
[17]THAPINTA D,SKULPHAN S,KITSUMBAN V,et al.Cognitive Behavior Therapy Self-Help Booklet to Decrease Depression and Alcohol Use among People with Alcohol Dependence in Thailand[J].Issues Ment Health Nurs,2017,38(11):964-970.
[18]董仁强.认知行为治疗对酒依赖患者自我效能感和幸福感的影响[J].中国医药指南,2018,16(22):93.
[19]李建芬,鲁文兴,廖帮磊,等.集体治疗缓解酒依赖患者焦虑抑郁症状的初步评价[J].中国心理卫生杂志,2017,31(2):118-122.
[20]高哲,王卓,周晓波,等.生活事件对酒依赖患者戒断后复饮程度的影响研究[J].中国药物依赖性杂志,2017,26(3):200-204.
[21]史桂芹,周忠莲.行为转变干预模式在酒精所致精神障碍患者自我管理中的应用[J].当代护士(上旬刊),2016,11(10):114-116.
[22]黄弋冰,汪咏梅,徐莲英,等.康复期酒依赖患者复饮成因及干预策略研究[J].华北理工大学学报(医学版),2018,20(4):331-336.