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題名 | Alleviation of Anxiety Symptoms with Short-term Intensive Stress-management Group Therapy=短期壓力管理團體對焦慮症狀的療效 |
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作者 | 謝文傑; 沈武典; 潘建志; 李信謙; 蘇冠賓; | 書刊名 | 臺灣精神醫學 |
卷期 | 15:2 2001.06[民90.06] |
頁次 | 頁33-41 |
分類號 | 415.992 |
關鍵詞 | 焦慮症; 心理社會治療; 放鬆訓練; 認知行為治療; Anxiety disorders; Psychosocial treatments; Relaxation training; Cognitive-behavioral therapy; |
語文 | 英文(English) |
中文摘要 | 目的:焦慮症是很普遍的,它帶給患者沈重的負擔與痛苦。雖然,近年來,焦慮症的藥物治療已經有顯著性的進步,但是仍有很多患者,對藥物治療的反應不佳而深受其害。心理社會的治療是一種有效且具替代性的療法。不過,侷限於人力與時間的花費,使得這些心理學上的治療性介入,變得不易實施且無法大眾化。本研究的目標在於設計一個短期密集性的團體治療模式,結合了放鬆訓練與認知行為治療,以增強藥物治療的結果。方法:26位患有廣泛焦慮症的受試者受邀參與本研究,並且參加為期四週的密集性團體治療。共有16位受試者完成整個治療過程,11位受試者完成團體治療的前後測評估。結果:完成治療過程的受試者,明顯的改善了他們的焦慮症狀,此結果由Beck Anxiety Inventory (Z=-2.092, p= 0.018)得知;同時也減輕了他們的一般性焦慮與憂鬱的症狀,此結果由Chinese Health Questionnaire (Z=-2.028, p=0.022)得知。結論:短期密集性認知行為治療結合放鬆訓練的模式,對於廣泛焦慮症患者而言,是一種有效的及具有經濟效益的治療方式。對於團體及心理治療在台灣健保給付偏低的情況下,本文所述之短期治療模式,應可為一替代性且符合成本效益之方案。 |
英文摘要 | Objective: Anxiety disorders are common, and cause burdens to those who suffer from them. Although pharmacological prescriptions for anxiety disorders have become significantly more effective during the last decade, there are patients who fail to respond to pharmacotherapy and still suffer from anxiety. Psychosocial treatment could be an effective and complementary method of management. However, the constraints on resources and time may render psychological interventions impracticable. The aim of this study was to design a quick and efficient therapeutic model for patients with anxiety disorders by combining relaxation training and cognitive-behavioral therapy (CBT) to enhance the outcome of pharmacotherapy.Methods: Twenty-six patients with generalized anxiety disorder were enrolled in this study and participated in a 4-session intensive group treatment program. Sixteen subjects completed the course program and 11 of those subjects completed the group pre- and post- assessments. Results: The patients showed significant reduction in increases of anxiety symptoms, as measured using Beck Anxiety Inventory (Z=-2.092, p=0.018), as well as in their general anxiety and depression symptoms, as measured using Chinese Health Questionnaire (Z=-2.028, p=0.022). Conclusions: Short-term intensive CBT along with relaxation training program is an effective, economical and efficient method of treatment for patients with generalized anxiety disorders. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。