针对疑病症的团体认知与行为治疗
Group cognitive and behavioural treatment for hypochondriasis.
作者信息
Stern R, Fernandez M
机构信息
St Helier Hospital, Carshalton, Surrey.
出版信息
BMJ. 1991 Nov 16;303(6812):1229-31. doi: 10.1136/bmj.303.6812.1229.
OBJECTIVE
To assess the feasibility of carrying out group cognitive and behavioural treatment for hypochondriasis in a general hospital setting.
DESIGN
Assessment of patients referred for therapy.
SETTING
District general hospital.
PATIENTS
Six patients aged 35 to 55 (mean 43) years with a mean duration of symptoms of 12 years who fulfilled the Diagnostic and Statistical Manual for Mental Disorders (DSM III-R) criteria for hypochondriasis.
MAIN OUTCOME MEASURES
Number of visits to their doctors, time spent thinking about illness, and scores on the hospital anxiety and depression scales.
RESULTS
The mean number of visits to a doctor fell significantly after treatment (3 before treatment v 0.8 after treatment; p = 0.03) as did the time spent thinking about illness (57.3 v 40.6; p = 0.14). The depression and anxiety scores also fell, although the differences were not significant (depression: 9.5 before v 8.5 after; anxiety: 13 before v 12 after).
CONCLUSION
It is feasible to carry out group cognitive and behavioural treatment in patients with hypochondriasis, and controlled studies are now indicated.
目的
评估在综合医院环境中对疑病症患者进行团体认知行为治疗的可行性。
设计
对转诊接受治疗的患者进行评估。
场所
地区综合医院。
患者
6名年龄在35至55岁（平均43岁）之间、症状平均持续时间为12年且符合《精神疾病诊断与统计手册》（DSM III-R）疑病症标准的患者。
主要观察指标
看医生的次数、思考疾病的时间以及医院焦虑抑郁量表的得分。
结果
治疗后看医生的平均次数显著下降（治疗前为3次，治疗后为0.8次；p = 0.03），思考疾病的时间也下降（57.3对40.6；p = 0.14）。抑郁和焦虑得分也有所下降，尽管差异不显著（抑郁：治疗前9.5，治疗后8.5；焦虑：治疗前13，治疗后12）。
结论
对疑病症患者进行团体认知行为治疗是可行的，目前需要进行对照研究。
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