连续性住院式森田疗法治疗酒精依赖前瞻性研究.docVIP

连续性住院式森田疗法治疗酒精依赖前瞻性研究 　　【摘 要】 目的:探讨连续性住院式森田疗法对酒精依赖的疗效。方法:选择1992年7月-1995年7月在江门市第三人民医院求治的符合中国精神障碍分类与诊断标准(第三版)(CCMD-3)酒精依赖患者13例,采用连续5年、每年1次的住院式森田疗法。以密西根酒精依赖调查量表(Michi-gan Alcoholism Screening Test,MAST)评估治疗前酒精精依赖严重程度,汉密顿抑郁量表(Hamihon Rating Scale for DePression,HAMD)及焦虑量表(Hamilton Anxiety Rating Scale,HAMA)、明尼苏达个性量表(Minnesota Maltiphasic PeronalityInventory,MMPI)做治疗前后测试及对照。结果:13例患者均完成整个治疗过程,且达到能正常生活、工作及社交,无酒瘾、偶尔被动少量饮酒不再醉酒的完全戒酒标准;跟踪随访5年,无一例复发。HAMD、HAMA评分在每次的住院治疗后均有下降,治疗5年后MMPI量表中的疑病(HS)、抑郁(D)、妄想(Pa)高量表分的患者比例也呈下降趋势。结论: 连续性住院式森田疗法可能通过改善患者的个性缺陷及情绪障碍而达到完全戒酒的目的。 　　【关键词】连续性;住院式森田疗法;酒精依赖;前瞻性研究 　　中图分类号:R749.052,R749.62 文献标识码:A 文章编号:1000-6729(2010)007-0490-04 　　doi:10.3969/j.issn.1000-6729.2010.07.省略 　　【Abstract】 Objective:To explore the efficacy of continuous inpatient morita therapy for alcohol dependence.Methods:Thirteen patients with alcohol dependence treated in the Third Peoples Hospital of Jiangmen between 1992 and 1995 were included in this study.The diagnosis was made according to the Chinese Classification and Diagnostic Criteria for Mental Disorders,the 3rd edition(CCMD-3).The patients received continuous inpatient Morita therapy once a year for five years prospectively.The Michi-gan Alcoholism Screening Test(MAST)was used to evaluate severity of alcohol dependence before the treatment.The Hamihon Rating Scale for DePression(HAMD),Hamilton Anxiety Rating Scale(HAMA)and Minnesota Maltiphasic Peronality Inventory(MMPI)were performed before and after the treatment.Results:All of the 13 patients completed the whole course of treatment.They all reached the complete abstinence standard(normal life,normal work,normal sociality,and no alcohol addiction or not drunk with a little passive drinking occasionally).None of these patients had a recurrence during the 5 years follow-up.The HAMD and HAMA scores were decreased after every treatment.The rates of patients who got the high scores of hypochondriasis(HS),depression(D),psychopath(Pa),paranoia(Pa)in MMPI were decreased af