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目的 探讨功能性消化不良 (FD)与心理障碍的关系。方法 对 3 3例经常规治疗效果差的患者进行症状自评量表(SCL-90 )、抑郁自评量表 (SDS)、焦虑自评量表 (SAS)评分 ,并与全国常模比较[1 ] ;应用森田心理疗法合并适量抗抑郁、焦虑剂治疗 ,疗程 2个月。结果 FD患者各量表均分显著高于常模 (P<0 .0 1 ) ,63 .6%的病例被诊断为神经症。森田心理疗法合并药物治疗后减分显著 (P<0 .0 1 ) ,全部病例的 FD症状获得缓解。结论 FD患者尤其是经常规治疗无效的顽固性FD患者存在着不可忽视的心理障碍 ,采用顺其自然的森田心理疗法原理合并适量抗抑郁、焦虑剂能 ,很好的改善病人的心理障碍 ,继而使躯体症状相应改善
Objective To explore the relationship between functional dyspepsia (FD) and psychological disorders. Methods Twenty-three patients with poor response to conventional therapy were assessed with SCL-90, SDS and SAS, and compared with the national norm [ 1]; application Morita psychological therapy combined with appropriate anti-depression, anxiety treatment, treatment for 2 months. Results The average score of each scale of FD patients was significantly higher than that of the norm (P0.01), and 63.6% of cases were diagnosed as neurosis. Morita psychotherapy combined with drug treatment after a significant reduction (P <0.01), FD symptoms were relieved in all cases. Conclusion FD patients, especially those refractory and refractory FD patients who have not been treated routinely, have some psychological disorders that can not be ignored. By using the principle of Morita psychotherapy, FD patients should be treated with the appropriate amount of antidepressant and anxiety agents to improve the patients’ mental disorders. Somatic symptoms improved accordingly