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目的探讨团体认知行为治疗对青少年焦虑障碍的干预效果。方法选择2012年1月~2014年8月在我院接受诊治的青少年焦虑障碍患者88例,随机分为对照组与观察组,每组各44例。两组患者均给予常规抗焦虑药物治疗但观察组合并团体认知行为治疗方案8周。8周后对两组患者的儿童焦虑量表(SCAS-C)、儿童自动思维量表(CATS)结果进行对比分析。结果两组患者在治疗前SCAS-C和CATS评分,组间无明显差异。治疗后两组的SCAS-C和CATS评分较治疗前均降低,且观察组SCAS-C总分和惊恐障碍、躯体伤害恐惧、分离焦虑、强迫症、社交恐惧、广泛性焦虑6个分量表评分均明显低于对照组,差异有显著性(P<0.05);观察组CATS总分和身体威胁、敌意、社交威胁、个人失败四个分量表评分均明显低于对照组,差异有统计学意义(P<0.05)。结论在常规抗焦虑药物治疗的基础上,合并团体认知行为治疗可以更显著改善焦虑障碍青少年的焦虑症状,值得临床推广应用。
Objective To explore the effect of group cognitive behavioral intervention on anxiety disorder in adolescents. Methods From January 2012 to August 2014, 88 cases of adolescent anxiety disorder admitted to our hospital were randomly divided into control group and observation group, 44 cases in each group. Both groups were given conventional anxiolytic therapy but the observation group combined with group cognitive behavioral therapy for 8 weeks. After 8 weeks, children’s anxiety scale (SCAS-C) and children’s automatic thinking scale (CATS) results of two groups were compared. Results There was no significant difference in SCAS-C and CATS score between the two groups before treatment. After treatment, SCAS-C and CATS scores decreased in both groups before treatment, and SCAS-C total score and panic disorder, body injury fear, separation anxiety, obsessive-compulsive disorder, social anxiety and generalized anxiety in the observation group were graded as 6 subscales Were significantly lower than the control group (P <0.05); the score of four subscales of the CATS score and body threat, hostility, social threat and personal failure in the observation group were significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusions On the basis of conventional anxiolytic therapy, the cognitive behavioral therapy in the combined group can significantly improve anxiety symptoms of anxiety-deprived adolescents and is worthy of clinical application.