[坚定——一项针对躯体形式眩晕和头晕患者的认知行为自我管理项目的有效性]
[Steadfast--effectiveness of a cognitive-behavioral self-management program for patients with somatoform vertigo and dizziness].
作者信息
Tschan Regine, Eckhardt-Henn Annegret, Scheurich Vera, Best Christoph, Dieterich Marianne, Beutel Manfred
机构信息
Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Untere Zahlbacher Straße 8, Mainz.
出版信息
Psychother Psychosom Med Psychol. 2012 Mar-Apr;62(3-4):111-9. doi: 10.1055/s-0032-1304575. Epub 2012 Mar 9.
The aim of the study was to evaluate a psychotherapeutic intervention for somatoform vertigo regarding illness perception, severity and psychopathology.Patients underwent a waiting-list control group design (n=10 control group; n=14 intervention group with diagnostics at baseline, post-intervention, 3- and 12-month follow-up). Psychometric assessments comprised the Illness Perception Questionnaire, Vertigo Symptom and Handicap Questionnaire, Hospital Anxiety and Depression Scale, and Physical Health Questionnaire.The intervention group improved in personal control (p=0.046; d=0.46), and coherency (p=0.087; d=0.42). Illness beliefs in organic deteriorations could be corrected towards psychosomatic attributions.Steadfast decreased dysfunctional illness representations and increased patient empowerment.
该研究的目的是评估针对躯体形式眩晕的心理治疗干预措施对疾病认知、严重程度和精神病理学的影响。患者采用等待列表对照组设计（对照组n = 10；干预组n = 14，在基线、干预后、3个月和12个月随访时进行诊断）。心理测量评估包括疾病认知问卷、眩晕症状与障碍问卷、医院焦虑抑郁量表和身体健康问卷。干预组在个人控制方面有所改善（p = 0.046；d = 0.46），连贯性方面也有所改善（p = 0.087；d = 0.42）。对器质性恶化的疾病信念可转向心身归因。顽固的功能失调性疾病表征减少，患者的自主权增加。
Zotero 插件