认知心理治疗2型糖尿病的应用研究

Treatment of Patients with Type 2 Diabetes Mellitus through Psychologic Therapy on Cognition Therapy to Perfect Mental Defense Mechanism

关键词:  心身疾病  2型糖尿病  心理防御机制  认知心理治疗  合理情绪疗法

Key words:  psychosomatic disease  2TDM  mental defense mechanism  mental treatment in cognition  reasonable emotion treatmentMR

摘要:

[目的]从完善心理防御机制入手,采用认知心理治疗的合理情绪疗法联合药物治疗,以降低、稳定2型糖尿病(2TDM)患者血糖。[方法]本着自愿保密的原则,对36例经过口服葡萄糖耐量实验(OGTT)检查确诊的,符合1999年世界卫生组织(WHO)糖尿病诊断标准的2TDM患者,进行为期3个月的心理治疗观察。治疗前后选用一般健康问卷-28(GHQ-28)、防御方式问卷(DSQ)、状态-特质焦虑问卷(STAI-Formy),3个自陈量表对每例入组患者进行心理测试并进行糖化血红蛋白(HbA_1C)测定。测试、化验结果进行统计学分析。[结果]治疗后患者能够频繁使用成熟防御方式,降低了焦虑,减少了不成熟防御方式的使用,HbA1C下降较明显。[结论]证明了防御方式的改变和完善对2TDM患者缓解焦虑情绪、稳定血糖有作用。

Abstract:

[Objective] To observe the effect of improved mental defense mechanism, adopting reasonable emotional treatment in cognitive therapy and combining with medicinal treatment to decrease and stabilize the level of blood sugar in patients with type 2 diabetes mellitus(2TDM). [Methods] Mental treatment were carried out in thirty-six 2TDM patients. The mental tests, including GHQ-28, DSQ and STAI-Formy and three self-descriptive scale was used and the glycosylated hemoglobin was determined. [Results] The patients of 2TDM may often apply mature defense style and cut down the appearance of anxiety, with less using of immature defense style after the treatment. The level of HbAic decreased obviously. [Conclusions] The alteration and perfection of defense style may relieve anxious emotion and stabilize the level of blood sugar in the 2TDM patients.