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电针联合心理干预对网络成瘾障碍患者精神症状及听觉诱发电位P50的影响

Effect of electro-acupuncture combined with psychological intervention on mental symptoms and P50 of auditory evoked potential in patients with internet addiction disorder.

作者信息

Li Hui, Jin Rongjiang, Yuan Kezhu, Zheng Bo, Zheng Zhong, Luo Ying, Ye Hua, Huang Bingjie, Zhu Tianmin

出版信息

J Tradit Chin Med. 2017 Feb;37(1):43-8. doi: 10.1016/s0254-6272(17)30025-0.

Abstract

OBJECTIVE

To observe the therapeutic effects of electro-acupuncture (EA) combined with psychological intervention on the symptom of somzatization or obsession and mental symptom of depression or anxiety and P50 of Auditory Evoked Potential (AEP) on internet addiction disorder (IAD).

METHODS

One hundred and twenty cases of IAD ere randomly divided into an EA group, a psycho- intervention (PI) group and a comprehensive therapy (EA plus PI) group. Patients in the EA group were treated with EA. Patients in the PI group were treated with cognition and behavior therapy. Patients in the EA plus PI group were treated with electro-acupuncture plus psychological intervention. Scores of IAD, scores of the symptom checklist 90 (SCL-90), latency and amplitude of P50 of AEP were measured before and after treatment.

RESULTS

The scores of IAD after treatment significantly decreased in all groups (P < 0.05), and the scores of IAD in the EA plus PI group were significantly lower than those in the other two groups (P < 0.05). The scores of SCL-90 assembled and each factor after treatment in the EA plus PI group significantly decreased (P < 0.05). After treatment in the EA plus PI group, the amplitude distance of S1P50 and S2P50 (S1-S2) significantly increased (P < 0.05).

CONCLUSION

EA combined with PI could relieve the mental symptoms of IAD patients, and the mechanism is possibly related to the increase of cerebrum sense perception gating function.

摘要

目的

观察电针(EA)结合心理干预对网络成瘾障碍(IAD)患者的躯体化或强迫症状、抑郁或焦虑精神症状以及听觉诱发电位(AEP)的P50的治疗效果。

方法

将120例IAD患者随机分为电针组、心理干预(PI)组和综合治疗(EA加PI)组。电针组患者接受电针治疗。PI组患者接受认知行为治疗。EA加PI组患者接受电针加心理干预治疗。治疗前后测量IAD评分、症状自评量表90(SCL-90)评分、AEP的P50潜伏期和波幅。

结果

所有组治疗后IAD评分均显著降低(P<0.05),且EA加PI组的IAD评分显著低于其他两组(P<0.05)。EA加PI组治疗后SCL-90总分及各因子分均显著降低(P<0.05)。EA加PI组治疗后,S1P50与S2P50的波幅差值(S1-S2)显著增大(P<0.05)。

结论

EA联合PI可缓解IAD患者的精神症状,其机制可能与大脑感觉门控功能增强有关。

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