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宗教——焦虑和抑郁患者的社会文化心理治疗

Religious--sociocultural psychotherapy in patients with anxiety and depression.

作者信息

Razali S M, Hasanah C I, Aminah K, Subramaniam M

机构信息

Department of Psychiatry, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian Kelantan.

出版信息

Aust N Z J Psychiatry. 1998 Dec;32(6):867-72. doi: 10.3109/00048679809073877.

Abstract

OBJECTIVE

To show the effectiveness of incorporating religious-sociocultural components in the management of patients with generalised anxiety disorders and major depression who have strong religious and cultural backgrounds as compared with a normal psychotherapeutic approach.

METHODS

One hundred and three cases of anxiety and 100 cases of depression with strong religious and cultural backgrounds were randomly assigned to the study or control groups. Both groups received standard treatment for their respective illnesses. The study group was given additional religious-sociocultural psychotherapy. They were followed for 6 months and were assessed in a double-blind fashion using the Hamilton Anxiety Rating Scale or the Hamilton Depression Rating Scale.

RESULTS

Patients receiving additional religious-sociocultural psychotherapy responded significantly faster than those who received standard treatment. However, the difference became non-significant at the end of 6 months.

CONCLUSIONS

Incorporating a religious and sociocultural component in the treatment program rapidly improved anxiety and depressive symptoms in patients with strong religious and cultural backgrounds. The present study demonstrates a need for more sensitivity to religious-sociocultural issues in the field of mental health.

摘要

目的

与常规心理治疗方法相比,展示将宗教 - 社会文化成分纳入对具有强烈宗教和文化背景的广泛性焦虑症和重度抑郁症患者管理中的有效性。

方法

103例具有强烈宗教和文化背景的焦虑症患者和100例抑郁症患者被随机分配到研究组或对照组。两组均接受各自疾病的标准治疗。研究组接受额外的宗教 - 社会文化心理治疗。对他们进行为期6个月的随访,并采用汉密尔顿焦虑评定量表或汉密尔顿抑郁评定量表以双盲方式进行评估。

结果

接受额外宗教 - 社会文化心理治疗的患者比接受标准治疗的患者反应明显更快。然而,在6个月末这种差异变得不显著。

结论

在治疗方案中纳入宗教和社会文化成分能迅速改善具有强烈宗教和文化背景患者的焦虑和抑郁症状。本研究表明心理健康领域需要对宗教 - 社会文化问题更具敏感性。

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