情绪聚焦疗法对焦虑障碍病人的干预效果观察

    Observation on the Intervention Effect of Emotion-Focused Therapy on Patients with Anxiety Disorders

    • 摘要:
      目的: 探讨情绪聚焦疗法(emotion–focused therapy,EFT)对焦虑障碍病人的干预效果。
      方法: 选择心理科收治的106例焦虑障碍病人,随机数字法将其分为对照组和观察组各53例,实施受试对象单盲设计。对照组采用药物治疗,观察组采用药物治疗+以情绪为改变核心、基于体验式取向的情绪聚焦疗法干预1个月,比较2组干预效果。
      结果: 干预后,观察组和对照组汉密尔顿焦虑量表(Hamilton Anxiety Scale, HAMA)、匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)评分均明显下降(P < 0.01),且观察组比对照组明显下降(P < 0.01);GSES、MMAS–8评分均明显增高(P < 0.01),且观察组比对照组明显增高(P < 0.01)。观察组疗效优于对照组(P < 0.05),治疗总有效率高于对照组(P < 0.05)。
      结论: 情绪聚焦疗法可增强焦虑障碍病人的治疗依从性与临床疗效,提高病人自我效能感水平,改善病人焦虑症状和睡眠质量。

       

      Abstract:
      Objective To explore the intervention effect of emotion-focused therapy (EFT) on patients with anxiety disorders.
      Methods A total of 106 patients with anxiety disorders admitted to the psychology department of our hospital were selected and randomly divided into a control group and an observation group, with 53 cases in each group. A single-blind design was implemented. The control group received drug treatment, while the observation group received drug treatment combined with experimental and emotion-focused EFT intervention for a month. The intervention effects were compared between the two groups.
      Results After the intervention, scores on the Hamilton Anxiety Scale (HAMA) and Pittsburgh Sleep Quality Index (PSQI) decreased significantly in both groups (P < 0.01), and the decreases were significantly greater in the observation group (P < 0.01). Scores on the General Self-Efficacy Scale (GSES) and medication adherence (Morisky-Green Scale) increased significantly in both groups (P < 0.01), and the increases were significantly greater in the observation group (P < 0.01). The treatment efficacy of the observation group was superior to those in the control group (P < 0.05), and the total effective rate was higher than that of the control group.
      Conclusions Emotion-focused therapy can enhance treatment adherence and clinical efficacy in patients with anxiety disorders, improve their sense of self-efficacy, and alleviate anxiety symptoms and improve sleep quality.

       

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