团体心理治疗可降低系统性红斑狼疮患者疾病的侵扰性。

Group psychotherapy reduces illness intrusiveness in systemic lupus erythematosus.

作者信息

Edworthy Steven M, Dobkin Patricia L, Clarke Ann E, Da Costa Deborah, Dritsa Maria, Fortin Paul R, Barr Susan, Ensworth Stephanie, Esdaile John M, Beaulieu André, Zummer Michael, Senécal Jean-Luc, Goulet Jean-Richard, Choquette Denis, Rich Eric, Smith Doug, Cividino Alfred, Gladman Dafna, Devins Gerald M

机构信息

Department of Rheumatology, University of Calgary, Calgary, Alberta, Canada.

出版信息

J Rheumatol. 2003 May;30(5):1011-6.

PMID:12734897

Abstract

OBJECTIVE

We investigated whether brief supportive-expressive group psychotherapy might reduce illness-induced interference with valued activities and interests (i.e., illness intrusiveness) among women with systemic lupus erythematosus (SLE) in relation to 3 life domains: (1) relationships and personal development (family relationships, other social relationships, self-expression), (2) intimacy (relationship with spouse, sex life), and/or (3) instrumental life (work, finances, active recreation).

METHODS

Women with SLE recruited from 9 rheumatology centers were randomly assigned to receive either usual care (n = 66) or a 12 week brief supportive-expressive group psychotherapy followed by 3 monthly booster sessions (n = 58). Standard instruments assessed disease activity and damage, illness intrusiveness, and psychological distress at 4 measurement occasions: (1) pretreatment, (2) posttreatment, (3) 6 month followup, and (4) 12 month followup.

RESULTS

Analysis of covariance, controlling for disease activity and household income, indicated that women who received brief supportive-expressive group psychotherapy experienced significant reductions in illness intrusiveness for 2 of 3 domains: (1) relationships and personal development and (2) intimacy. Benefits were evident at 6 and 12 month followups.

CONCLUSION

Brief supportive-expressive group psychotherapy facilitates adaptation to SLE by assisting women in reducing illness-induced disruptions into important domains of life experience.

摘要

目的

我们调查了简短的支持性-表达性团体心理治疗是否可能减少系统性红斑狼疮（SLE）女性患者在疾病对其重视的活动和兴趣方面的干扰（即疾病侵扰），涉及三个生活领域：（1）人际关系和个人发展（家庭关系、其他社会关系、自我表达），（2）亲密关系（与配偶的关系、性生活），和/或（3）工具性生活（工作、财务、积极的娱乐活动）。

方法

从9个风湿病中心招募的SLE女性患者被随机分配接受常规护理（n = 66）或为期12周的简短支持性-表达性团体心理治疗，随后进行3次每月一次的强化治疗（n = 58）。在4个测量时间点使用标准工具评估疾病活动度和损伤、疾病侵扰以及心理困扰：（1）治疗前，（2）治疗后，（3）6个月随访，和（4）12个月随访。