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[惊恐障碍和广场恐惧症患者的团体心理治疗]

[Group psychotherapy in patients with panic disorder and agoraphobia].

作者信息

Scheibe G, Albus M, Walther A U, Schmauss M

机构信息

Bezirkskrankenhaus Haar, Akademisches Lehrkrankenhaus, Ludwig-Maximilians-Universität München.

出版信息

Psychother Psychosom Med Psychol. 1993 Jul;43(7):238-44.

PMID:8337352
Abstract

The one-year supportive group-psychotherapy (3 groups with 8-9 patients) was carried out once-weekly by two therapists in 26 patients who met the DSM-III-R criteria for panic disorder and agoraphobia. Patients filled in various ratings at the beginning and at the end of the therapy and a visual analog scale before as well as after each session. Twelve months after the end of the group-therapy the Longitudinal Interval Follow-up Evaluation (LIFE) was carried out. During the group-psychotherapy panic sensations, anxiety, nervousness and fears as well as psychosocial disability decreased. Duration of illness affected the reduction of panic sensations, anxiety, nervousness and fears during the first 6 months of the group-psychotherapy. Phobic fears and avoidance behavior mostly improved in patients with a duration of illness of more than 5 years and an additional depressive disorder. At the one-year follow-up 80% of panic patients without depressive disorder were symptom-free and reported better partner-relationships, more satisfaction, and a better social adjustment compared with panic patients with concomitant depressive disorders.

摘要

由两名治疗师对26名符合DSM-III-R惊恐障碍和广场恐惧症标准的患者进行了为期一年的支持性团体心理治疗(共3组,每组8 - 9名患者),每周进行一次。患者在治疗开始和结束时填写了各种评定量表,并且在每次治疗前后还填写了视觉模拟量表。在团体治疗结束12个月后进行了纵向间隔随访评估(LIFE)。在团体心理治疗期间,惊恐感觉、焦虑、紧张和恐惧以及心理社会功能障碍均有所减轻。疾病持续时间影响了团体心理治疗前6个月内惊恐感觉、焦虑、紧张和恐惧的减轻程度。病程超过5年且伴有额外抑郁障碍的患者,其恐惧和回避行为大多有所改善。在一年的随访中,80%无抑郁障碍的惊恐患者症状消失,与伴有抑郁障碍的惊恐患者相比,他们报告称伴侣关系更好、满意度更高且社会适应更好。

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