团体认知行为心理治疗在慢性疼痛患者中的应用研究

目的评价团体认知行为疗法治疗慢性疼痛患者的疗效。方法对23例团体CBT治疗组患者实行疼痛科常规住院治疗联合团体CBT治疗,对照组仅采取疼痛科常规住院治疗;全部患者在治疗前和出院时进行90项症状清单（SCL-90）及简明疼痛量表（BPI）评分。结果团体CBT治疗组SCL-90躯体化、抑郁、焦虑、精神病性及其他项目分值治疗前后存在显著降低（P〈0.01）,强迫分值下降（P〈0.05）,对照组治疗前后躯体化分值显著下降（P〈0.01）,抑郁及其他项目分值降低（P〈0.05）;治疗组BPI疼痛强度因子减分差值更大,但与对照组相比无统计学差异（P〉0.05）;干扰日常生活因子减分两组存在显著差异,治疗组比对照组更为有效（P〈0.01）。结论团体认知行为心理治疗可改善腹性疼痛患者的精神状态以及对疼痛的适应能力,值得临床推广。

Study of group cognitive-behavioral therapy in patients with chronic pain

Objective To assess the effects of group cognitive-behavioral treatment to the mental situation and the pain intensity in patients with chronic pain.Methods 23 patients in the experimental group were,on the basis of routine care,given group cognitive-behavioral treatment;while the patients in the controlling group were given routine care.All patients were tested for the SCL-90 and BPI.Results In SCL-90,the score of somatization,depression,anxiety and psychoticism were significantly lower（P0.01）,obsessive-compulsive decline（P0.05）;and in the controlling group,the score of somatization drops significantly（P0.01）,and depression become lower（P0.05）;to compare with the controlling group,the intensity factor of pain in BPI was lower,but without significance（P0.05）,the deduction of interfere daily life factor is significantly higher（P0.01）.Conclusion The efficiency of group CBT can improve the quality of life,and increase the curative effect and satisfaction of the patient.