电针结合心理干预治疗互联网成瘾综合征临床研究

作者	单位
朱天民	成都中医药大学针灸推拿学院
金荣疆	成都中医药大学针灸推拿学院
钟晓鸣	四川省绵阳市中医院
陈骥	成都中医药大学针灸推拿学院
李辉	成都中医药大学针灸推拿学院

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中文摘要:

目的研究以电针结合心理认知行为疗法治疗互联网成瘾综合征(IAD)的疗效。方法47例IAD患者,随机分为心理治疗组(23例)和电针结合心理治疗组(24例),两组均采用认知行为疗法,4天1次,共治疗10次;电针结合心理治疗组加用电针治疗,选取百会、四神聪、合谷、太冲、内关、三阴交穴,隔日1次,共治疗20次。观察治疗前后患者的网瘾自评量表(ISS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、Hamilton抑郁量表(HAMD)、Hamilton焦虑量表(HAMA)、亚健康自评量表(SRSHS)等评分指标。结果各组脱落1例,电针结合心理治疗组总有效率(91.3%,21/23)优于心理治疗组(59.1%,13/22,P<0.05)。治疗结束后除HAMD评分外,电针结合心理组各量表评分:ISS评分33.20±4.53、SAS评分30.90±6.30、SDS评分35.38±4.59、HAMA评分7.50±2.54、SRSHS评分39.60±5.66均低于心理治疗组的44.00±5.81、39.60±5.80、39.60±6.33、12.70±3.68、48.40±6.91(P<0.05)。结论电针结合心理治疗及单纯心理治疗均能明显降低患者的ISS评分,改善患者焦虑情绪及自觉健康状况,但电针结合心理治疗组疗效较单纯电针疗效更为显著。

英文摘要:

Objective To observe,adopting randomized controlled method,the therapeutic effect of electroacupuncture(EA)combined with psychologic interference in patients with internet addiction disorder(IAD).MethodsForty-seven patients with IAD were assigned to two groups treated respectively with psychotherapy alone(A,23 cases)and EA plus psychotherapy(B,24 cases).The psychotherapy was conducted by cognition and behavior method,once every 4 days,for 10 times totally.EA was applied at acupoints Baihui,Sishencong,Hegu,Taichong,Neiguan,Sanyinjiao,etc.once every other day,for 20 times.Changes of scoring by IAD self-rating scale(ISS),anxiety self-rating scale(SAS),self-rating depressive scale(SDS),Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA)and self-rating sub-health scale(SRSHS)before and after treatment were observed.ResultsThe total effective rate was 91.3%(21/23)in Group B,better than that(59.1%,13/22)in Group A.By the end of this study,all scores in Group B,except HAMD,were significantly lower than those in Group A respectively,i.e.for IAD,33.20±4.53 vs 44.00±5.81;for SAS,30.90±6.30 vs 39.60±5.80;for SDS,35.38±4.59 vs 39.60±6.33;for HAMA,7.50±2.54 vs 12.70±3.68;for SRSHS,39.60±5.66 vs 48.40±6.91,showing statistical significances(P<0.05).ConclusionUsing psychologic interference alone or combined with EA can significantly reduce the ISS score and significantly reduce anxiety and improve self-conscious health status in patients with IAD,but the effect obtained by the combined therapy is better.

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