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1、焦虑症患者心理困扰程度的相关原因分析及治疗体会刘玉玲(内蒙古呼伦贝尔市精神卫生中心022150)【摘要】目的:分析焦虑症患者的心理网扰程度及相关原因,并探讨焦虑症的治疗方法。方法:选取2012年1月〜2013年12月我院精神科收治的焦虑症患者56名,采用患者基木情况表和心理困扰程度调查问卷评估患者心理困扰程度及相关的原因,对患者采用认知行为和药物综合治疗方法,采用患者治疗前后的汉密尔顿焦虑量表(HAMA)评估临床疗效。结果:56名患者的平均困扰程度评分为2〜8分,平均分数为(4.6±1.4)分,其中89.3%(50/56)患者为中重度心理网扰。性别
2、、年龄、婚姻状况、睡眠质量、文化程度、子女关系、经济、情绪、疾病状态等均是与心理困扰息息相关的重要因素。经过治疗,56名焦虑症患者治愈13例,显著进步23例,进步17例,无效3例,总有效率达94.6%。结论:大部分焦虑症患者均存在不同程度的心理网扰,且受患者的性别、年龄、文化程度、疾病等多种因素影响,应根据心理困扰因素对患者进行个体化心理护理和药物综合治疗,降低焦虑症患者的心理困扰程度。【关键词】焦虑症心理网扰原因分析心理治疗【中图分类号】R749.7+2【文献标识码】A【文章编号】1672-5085(2014)27-0042-02Relatedreasonan
3、alysisofpsychologicaldistressdegreeandtreatmentofanxietydisorder[Abstract]Objective:Toanalysisthedegreeofpsychologicaldistressandrelatedcausesofanxietydisorders,andtoexplorethetreatmentofanxietydisorders.Methods:Select56patientswithanxietydisordertreatedinpsychiatricofourhospitalfrom
4、January2012toDecember2013,usingthebasicsituationofthetableandthedegreeofpsychologicaldistressinpatientswithquestionnairesinpsychologicaldistressandrelatedcausesassessmentofpatientswithcognitivebehavioralanddrugtherapyapproach,usingtheHamiltonanxietyScaleinpatientsbeforeandaftertreatm
5、ent(HAMA)toassessclinicalefficacy.Results:56patientswithanaveragedistressscoreof2to8degrees,withanaveragescoreof(4.6±1.4)points,whichwas89.3%(50/56)inpatientswithmoderatetoseverepsychologicaldistress.Gender,age,maritalstatus,sleepquality,education,children,relations,economic,e
6、motionalstateandsoisanimportantfactorandiscloselyrelatedtopsychologicaldistress.Aftertreatment,56patientswithanxietydisorderswerecured13cases,23casesofsignificantprogress,progressin17cases,3cases,thetotaleffectiverateof94.6%.Conclusion:Mostpatientswithanxietydisordersarevaryingdegree
7、sofpsychologicaldistressandaffectedbyvariousfactorssuchasgender,age,educationlevel,diseasepatients,shouldbebasedonthefactorsofpsychologicaldistressinpatientswithpsychologicalcareandindividualizeddrugtherapytoreduceanxietydegreeofpsychologicaldistresssyndromepatients.【Keywords]anxiety
8、disorderpsyc