认知行为疗法结合万拉法新治疗焦虑症的临床效果观察
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摘要
目的:观察认知行为疗法结合万拉法新治疗焦虑症的临床效果。方法:选取62例焦虑症患者作为观察对象,采用随机数字表法将其分为对照组和观察组各31例。对照组给予万拉法新治疗,观察组在对照组基础上给予认知行为疗法治疗。治疗3个月后,比较两组焦虑情况(HAMA量表)、功能状态(GAF量表)和疗效。结果:治疗后,观察组HAMA量表评分明显低于对照组,GAF量表评分明显高于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率为83.87%,明显高于对照组的58.06%,差异有统计学意义(P<0.05)。结论:认知行为疗法结合万拉法新治疗焦虑症的效果优于单纯万拉法新治疗,可显著改善患者的病情。
Objective: To explore clinical effects of cognitive behavioral therapy combined with Venlafaxine in treatment of anxiety. Methods: 62 patients with anxiety were selected and randomly divided into two groups according to the random number table method. Each group consisted of 31 patients. The observation group was treated with cognitive behavioral therapy combined with Venlafaxine, while the control group was treated with simple Venlafaxine. 3 months after the treatment, the anxiety status(HAMA scale), functional status(GAF scale), and the effects were compared between the two groups. Results: After the treatment, the HAMA score of the observation group was signifi cantly lower than that of the control group, the GAF score was signifi cantly higher than that of the control group, and the differences were statistically signifi cant(P<0.05). The total effective rate of the observation group was 83.87%, which was signifi cantly higher than that of the control group, and the difference was statistically signifi cant(P<0.05). Conclusions: Cognitive behavioral therapy combined with Venlafaxine is superior to Venlafaxine in the treatment of anxiety, which can signifi cantly improve the patients' conditions.
Objective: To explore clinical effects of cognitive behavioral therapy combined with Venlafaxine in treatment of anxiety. Methods: 62 patients with anxiety were selected and randomly divided into two groups according to the random number table method. Each group consisted of 31 patients. The observation group was treated with cognitive behavioral therapy combined with Venlafaxine, while the control group was treated with simple Venlafaxine. 3 months after the treatment, the anxiety status(HAMA scale), functional status(GAF scale), and the effects were compared between the two groups. Results: After the treatment, the HAMA score of the observation group was signifi cantly lower than that of the control group, the GAF score was signifi cantly higher than that of the control group, and the differences were statistically signifi cant(P<0.05). The total effective rate of the observation group was 83.87%, which was signifi cantly higher than that of the control group, and the difference was statistically signifi cant(P<0.05). Conclusions: Cognitive behavioral therapy combined with Venlafaxine is superior to Venlafaxine in the treatment of anxiety, which can signifi cantly improve the patients' conditions.
引文
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[9]王飞雪.认知行为疗法结合药物治疗对焦虑症患者社会功能、生活满意度及生活质量的影响[J].中国实用医药,2016,11(35):137-138.
[2]石敏,陶明.帕罗西汀联合认知行为疗法治疗广泛性焦虑障碍的临床研究[J].中国现代医生,2015,53(32):90-92.
[3]刘三运,王建明,朱志扬,等.通痹舒心颗粒对ACS伴焦虑抑郁病人hs CRP、NT proBNP及心率变异性的影响[J].中西医结合心脑血管病杂志,2016,14(2):124-128.
[4]中国精神障碍分类与诊断标准第三版(精神障碍分类)[J].中华精神科杂志,2001,34(3):59-63.
[5]续蕾,罗江涛,周宏斌,等.团体心理治疗对脑卒中后焦虑障碍的疗效研究[J].现代医学,2016,44(12):1746-1749.
[6]苏国锋,周闯,马晓燕,等.对青年女性焦虑症患者采用松弛训练联合心理疏导治疗的临床分析[J].黑龙江医学,2018,42(1):41-42.
[7]Hara KM,Aviram A,Constantino MJ,et al.Therapist empathy,homework compliance, and outcome in cognitive behavioral therapy for generalized anxiety disorder:partitioning within-and between-therapist effects[J].Cogn Behav Ther,2017,46(5):375-390.
[8]王增旋,张程赪.舍曲林与万拉法新治疗双相障碍抑郁发作患者认知功能相关性研究[J].现代医药卫生,2 013,29(5):662-664.
[9]王飞雪.认知行为疗法结合药物治疗对焦虑症患者社会功能、生活满意度及生活质量的影响[J].中国实用医药,2016,11(35):137-138.