首页|期刊导航|中国现代医生|团体互助式心理治疗联合正念认知疗法在轻中度焦虑障碍患者中的应用观察

团体互助式心理治疗联合正念认知疗法在轻中度焦虑障碍患者中的应用观察OA

Application of group mutual-aid psychotherapy combined with mindfulness based cognitive therapy in patients with mild-to-moderate anxiety disorders

中文摘要英文摘要

目的 探讨团体互助式心理治疗联合正念认知疗法(mindfulness based cognitive therapy,MBCT)在轻中度焦虑障碍患者中的应用.方法 选取2024年1月至2025年10月温州市中医院收治的轻中度焦虑障碍患者80例,采用随机数字表法分为对照组和观察组,每组40例.对照组患者给予团体互助式心理治疗,观察组患者给予团体互助式心理治疗联合MBCT.于干预前和干预8周末,采用汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)、焦虑自评量表(self-rating anxiety scale,SAS)评估临床症状;采用正念注意觉知量表(mindful attention awareness scale,MAAS)评估正念度;采用心理弹性量表(connor-davidson resilience scale,CD-RISC)评估心理弹性;采用简易应付方式问卷(simplified coping style questionnaire,SCSQ)评估应对方式;采用匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)、失眠严重指数(insomnia severity index,ISI)评估睡眠质量;采用健康状况调查问卷(short form-36 health survey,SF-36)评估生活质量.结果 干预后两组患者的HAMA、SAS、SCSQ中消极应对评分及PSQI、ISI评分均较干预前降低,且观察组低于对照组(P<0.05).干预后两组患者的MAAS、CD-RISC评分及SCSQ中积极应对评分、SF-36评分均较干预前升高,且观察组高于对照组(P<0.05).结论 团体互助式心理治疗联合MBCT可有效减轻轻中度焦虑障碍患者的焦虑症状,提升正念水平与心理弹性,改善应对方式、睡眠质量及生活质量.

Objective To explore the application of group mutual-aid psychotherapy combined with mindfulness based cognitive therapy(MBCT)in patients with mild-to-moderate anxiety disorders.Methods Eighty patients with mild-to-moderate anxiety disorders admitted to Wenzhou TCM Hospital from January 2024 to October 2025 were enrolled in the study.They were divided into control group and observation group using a random number table,with 40 cases in each group.Control group received group mutual-aid psychotherapy,while observation group received group mutual-aid psychotherapy combined with MBCT.Before intervention and at the end of 8-week intervention,Hamilton anxiety scale(HAMA)and self-rating anxiety scale(SAS)were used to assess clinical symptoms.Mindful attention awareness scale(MAAS)was used to evaluate mindfulness,and connor-davidson resilience scale(CD-RISC)was used to assess psychological resilience.The simplified coping style questionnaire(SCSQ)was used to evaluate coping styles.Pittsburgh sleep quality index(PSQI)and insomnia severity index(ISI)were used to assess sleep quality,and short form-36 health survey(SF-36)was used to evaluate quality of life.Results After intervention,both groups showed decreases in HAMA scores,SAS scores,negative coping scores on the SCSQ,PSQI scores and ISI scores,and these scores were lower in observation group(P<0.05).MAAS scores,CD-RISC scores,positive coping scores on the SCSQ,and SF-36 scores increased after intervention.Meanwhile,these scores were higher in observation group(P<0.05).Conclusion Group mutual-aid psychotherapy combined with MBCT can more effectively alleviate anxiety symptoms,enhance mindfulness and psychological resilience,and improve coping styles,sleep quality and quality of life in patients with mild-to-moderate anxiety disorders.

金兴达

温州市中医院神经内科,浙江 温州 325200

医药卫生

焦虑障碍团体互助式心理正念认知疗法

Anxiety disordersGroup mutual-aid psychotherapyMindfulness based cognitive therapy

《中国现代医生》 2026 (24)

44-48,5

10.3969/j.issn.1673-9701.2026.24.009

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