基于正念的团体心理治疗改善缓解期强迫症患者病耻感应用研究
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摘要
目的探讨基于正念的团体心理治疗对缓解期强迫症患者病耻感的影响。方法将60例缓解期强迫症患者随机分为干预组和对照组,对照组进行常规健康教育,干预组在此基础上进行正念团体治疗。采用病耻感量表评定干预效果。结果辅导前两组患者病耻感量表评分差异无统计学意义(P>0.05)。干预后,干预组患者病耻感量表评分显著低于对照组(P<0.05)。结论正念团体心理治疗有助于消除强迫症患者自卑心理及病耻感,可应用于临床治疗。
Objective To explore the effect of mindfulness-based group psychotherapy on the stigma in patients with remission obsessive-compulsive disorder(OCD).Methods A total of 60 patients with remission OCD were randomly divided into intervention group and control group.The control group was given health education,and the intervention group was given mindfulnessbased group psychotherapy.The effects of intervention was evaluated by using stigma scale.Results There was no significant difference of stigma scale between the two groups before intervention(P>0.05),and the scores of the intervention group after counseling were significantly lower than control group(P<0.05).Conclusion Mindfulness-based group psychotherapy could be helpful to eliminate the inferiority complex and sense of shame in OCD patients,and could be used as an effective treatment in clinic.
Objective To explore the effect of mindfulness-based group psychotherapy on the stigma in patients with remission obsessive-compulsive disorder(OCD).Methods A total of 60 patients with remission OCD were randomly divided into intervention group and control group.The control group was given health education,and the intervention group was given mindfulnessbased group psychotherapy.The effects of intervention was evaluated by using stigma scale.Results There was no significant difference of stigma scale between the two groups before intervention(P>0.05),and the scores of the intervention group after counseling were significantly lower than control group(P<0.05).Conclusion Mindfulness-based group psychotherapy could be helpful to eliminate the inferiority complex and sense of shame in OCD patients,and could be used as an effective treatment in clinic.
引文
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[4]王晓琴.精神分裂症患者生活质量、病耻感及药物依从性的研究[D].武汉:武汉大学,2016.
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[12]王蕾,李凌江,杨德森,等.社区精神分裂症病人生活质量对照研究[J].中国心理卫生杂志,1996,4(4):145-147.
[13]YALON ID,Leszcz M.Theory and practice of group psychotherapy[M].Boston,USA:Hachette Book Group,2010.
[14]KABAT-ZINN J.Mindfulness-based interventions in context:past,present,and future[J].Clin Psychol Sci Pract,2003,10(2):144-156.
[15]SHAPIRO SL,CARLSON LE,ASTIN JA,et al.Mechanisms of mindfulness[J].J Clin Psychol,2006,62(3):373-386.
[2]American Psychiatric Association.Diagnostic and statistical manual of mental disorders[M].5th edition.Arlington,USA:American Psychiatric Association,2013.
[3]董锋云,赵淑宜,孙红艳,等.精神分裂症患者病耻感与自尊、社会支持的相关性分析[J].齐鲁护理杂志,2017,23(15):51-53.
[4]王晓琴.精神分裂症患者生活质量、病耻感及药物依从性的研究[D].武汉:武汉大学,2016.
[5]心理学名词审定委员会.心理学名词[M].2版.北京:科学出版社,2014.
[6]YALON ID.The theory and practice of group psychotherapy(3rd ed)[J].Ment Heal,1985,29(3):24-25.
[7]COREY G.Theory and Practice of Group Counseling[M].8th edition.New Delhi,India:Cengage Learning,2014.
[8]KABATZINN J.Using the wisdom of your body and mind to face stress,pain and illness[M].New York,USA:Delta Book,1990.
[9]丁媛慧.正念练习对正念水平及主观幸福感的影响[D].北京:首都师范大学,2012.
[10]BUELOW JM,MCNELIS A.Should every child with epilepsy undergo a neuropsychological evaluation[J].Epilep Behav,2002,3(3):210-213.
[11]蒋锋,汤宜朗,侯也之.精神疾病病耻感形成的相关因素及对策[J].中国心理卫生杂志,2002,16(10):721-722.
[12]王蕾,李凌江,杨德森,等.社区精神分裂症病人生活质量对照研究[J].中国心理卫生杂志,1996,4(4):145-147.
[13]YALON ID,Leszcz M.Theory and practice of group psychotherapy[M].Boston,USA:Hachette Book Group,2010.
[14]KABAT-ZINN J.Mindfulness-based interventions in context:past,present,and future[J].Clin Psychol Sci Pract,2003,10(2):144-156.
[15]SHAPIRO SL,CARLSON LE,ASTIN JA,et al.Mechanisms of mindfulness[J].J Clin Psychol,2006,62(3):373-386.