进食障碍能自愈吗_住院进食障碍患者家属心理干预的对照研究.docx

PAGE PAGE 1 进食障碍能自愈吗_住院进食障碍患者家属心理干预的对照研究 　　 　　【摘 要】 目的：探讨住院进食障碍患者家属心理健康状况及心理干预的效果。方法：将入组的37例患者家属随机分为干预组和对照组（干预组18例，对照组19例）。对干预组进行为期6周，每周1 次，每次1.5小时的心理干预；对照组仅在患者入院时对家属常规进行入院须知的宣教。使用焦虑自评量表(SAS)、抑郁自评量表(SDS)、症状自评量表(SCL-90)和总体幸福感量表(GWB )在入院时和6周后对两组家属进行评定。结果：进食障碍患者入院时，其家属存在轻至重度抑郁症状群者占56.8%，存在焦虑症状群者占24.3%；干预组家属入院6周后的焦虑、抑郁自评量表得分，症状自评量表总分及各因子分均低于入院时，（如SDS：31.5±6.8/40.8±8.9，P=0.007；SAS：36.3±8.0/45.0±8.2，P=0.006；SCL-90总分：23.4±22.6/53.6±18.1，P=0.002），总体幸福感量表评分高于入院时，差异边缘显著（88.5±15.4/78.7±13.6，P=0.065）；对照组家属6周后症状自评量表总分及躯体化、强迫、抑郁、敌对、精神病性因子分均低于入院时（如SCL-90总分：42.4±53.1/59.6±51.6，P=0.001）；两组加或减分率比较发现干预组抑郁自评总分、焦虑问卷总分、SCL-90总分和人际敏感因子分大于对照组（0.44±0.28 /0.12±0.38，P=0.004；0.16±0.30 /0.05±0.19，P=0.025；0.55±0.52 /0.35±0.38，P=0.048；0.40±1.03 /0.16±0.48，P=0.021）。结论：进食障碍患者住院后家属的心理状态随着住院治疗的进程会得到改善，针对家属进行的系统心理干预可更为有效地改善家属的心理状态。 　　【关键词】 进食障碍；患者家属；心理干预；随机对照 　　中图分类号：R749.7、R749.055 文献标识码：A 文章编号：1000-6729(2021)003-0231-04 　　A Control Study of Psychoeducation on Care Givers of the Inpatients with Eating Disorder 　　GENG ShuXia, LI XueNi, ZHANG DaRong, et al 　　Institute of Mental health, Peking University, Beijing 100083 　　【Abstract】 Objective: To investigate the mental status of the care givers of inpatients with eating disorder; to explore the effectiveness of psychoeducation on those care givers. Methods: 37 mothers of the patients with eating disorder were enrolled in this study and randomized into two groups, intervention group (n=18) and control group (n=19). Psychoeducation was given to the intervention group once a week for 6 weeks; usual care was given to the control group. All the subjects were tested with SAS, SDS, SCL-90 and GWB (global wellbeing scale) before and after the 6 weeks.Results:By the time of admission of the patients, 56.8% of the mothers show minor to severe depressive symptoms, 24.3% of them show anxiety symptoms. Compare to preintervention, the mothers showed significant improvement on all the scales except for the GWB (SDS: 31.5±6.8/40.8±8.9, P=0.007; SAS: 36