躯体形式障碍去污名化项目的有效性

Yuliya V Bogushevskaya, A. V. Pogosov
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摘要

研究目的:探讨心理教育在躯体形式障碍患者自我污名化中的作用。研究设计:观察性临床比较试验,随机分为两组,进行临时检查和期末检查。材料与方法。该研究招募了年龄在20至45岁之间的首次因躯体形式疾病住院的患者。研究小组包括60名患者,他们在接受心理药物治疗的同时还参加了心理教育项目。对照组为60例仅接受药物治疗的患者。采用临床、心理学和心理诊断的方法评估患者的状态。研究的结果。治疗结束后,两组患者自我污名化程度和对精神障碍的认知水平差异有统计学意义(p < 0.001)。躯体化量表组间比较,差异有统计学意义(0.05≤p < 0.1)。结论。心理教育方案有助于处理“逃避精神科医生”的行为,从而减少疾病慢性化的风险,并帮助防止不可逆转的人格改变。关键词:心理教育,去污名化项目,躯体形式障碍,自我污名化程度,精神障碍知识水平
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficiency of the De-stigmatization Program in Somatoform Disorders
Study Objective: To study the role of the psychoeducational program in coping with self-stigmatization in patients with somatoform disorders. Study Design: Observational emperical comparative clinical trial with two randomized groups with provisional and final examination. Materials and Methods. The study enrolled patients aged 20 to 45 years old who were hospitalised for a somatoform disorder for the first time. The study group comprised 60 patients, who attended a psychoeducational program in addition to psychopharmacological treatment. Controls were 60 patients treated only with medications. Patients’ status was evaluated using clinical, psychological and psychognostic methods. Study Results. After completion of the therapy, the difference in the degree of self-stigmatization and the level of knowledge about the mental disorder in the groups was statistically significant (p < 0.001). When groups were compared on a somatization scale, a statistically significant trend towards differences was noticed (0.05 ≤ p < 0.1). Conclusion. The psychoeducational program facilitates coping with ‘avoiding the psychiatrist’ behaviour, thus reducing the risk of disease chronization and helping prevent irreversible personality changes. Keywords: psychoeducation, de-stigmatization program, somatoform disorders, degree of self-stigmatization, level of knowledge about the mental disorder.
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