摘要
目的:研究道家认知疗法对冠心病患者A 型行为干预的方法及疗效。方法:206例冠心病患者随机分为研究组和对照组,研究组用道家认知疗法进行为期3个月的干预及6个月的随访,对照组用单纯的药物治疗,采用A 型行为问卷和精神超脱价值观问卷进行干预前后评价,并进行临床疗效评定。结果:研究组干预3月后A 型行为问卷评分由原来的25.8±7.6下降到20.8±5.8,差异有统计学意义(P<0.01),精神超脱价值观问卷由原来的28.7±4.4增加到31.8±3.8,差异有统计学意义(P<0.01),随访6月后,A 型行为问卷评分无进一步变化(P>0.05),而精神超脱价值观问卷评分进一步增加到32.6±3.1,差异有统计学意义(P<0.05)。对照组治疗前后两种量表的评分无明显变化(P>0.05)。两组问临床疗效比较,心理治疗组总有效率显著高于对照组(83.7%/67.8%,X^2=6.18,P<0.05)。结论:道家认知治疗可减少冠心病患者的A 型行为,增加临床疗效,改善预后。
Objective： To study the effects of Taoist cognitive therapy on type A behavior of patients with coronary heart disease. Methods： 206 patients with coronary heart disease were randomized divided into two groups. The study group received Taoist cognitive therapy for 3 months in addition to basic medical treatment. The control group was treated with medicine only. Both groups were followed for 6 months and evaluated with psychological scales, including Type A behavior scale, mental detachment scale. Clinical efficacy was also evaluated. Results： The score of type A had significant decreased from 25.8± 7.6 to 20.8± 5.8 after 3 months in the study group, the score of mental detachment significantly increased from 28.7± 4.4 to 31.8± 3.8 （P〈0.01）. The score of type A behavior had no further decrease after 6 months follow up, but the score of mental detachment had more increase, up to 32.6± 3.1 （ P〈0.05 ） .Both of the scores of type A behavior and mental detachment scale had no significant change in the control group. The clinical efficacy was significantly higher in the study group （responsive rate 83.7%） than in the control group （67.8%, X^2=-6.18,P〈0.05）. Conclusion： Taoist cognitive therapy may decrease type A behavior pattern of the patients with coronary heart disease, and increase clinical efficacy.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2005年第8期553-556,共4页
Chinese Mental Health Journal
关键词
冠心病
道家认知治疗
病例对照研究
A型行为
coronary heart disease
Taoist cognitive therapy
case-control study
type A behavior
