| 摘要 |
探讨接纳承诺疗法（ACT）在双相情感障碍患者中的疗效及社会功能。方法 将60例双相情感障碍患者随机分为对照组和干预组，每组30人，对照组维持原有药物治疗，干预组在对照组之上引入ACT，均干预6周。干预前后分别对两组采用YMRS﹑SDS评估症状程度﹑AAQ-Ⅱ评估心理灵活性﹑SDSS评估社会功能﹑MMAS评估依从性。结果 干预后干预组在 AAQ-Ⅱ（t=70.598，P< 0.05）及SDSS（t=41.608，P< 0.05）评分与对照组比较差异均有统计学意义，对照组AAQ-Ⅱ（t=-0.453，P> 0.05）前后测比较差异不显著。干预组YMRS（t=1.935,P< 0.05）、SDS（t=3.695,p<0.05）、AAQ-Ⅱ（t=65.66,p<0.05）、SDSS（t=41.025,p<0.05）及MMAS（t=8.831,p<0.05）干预前后测差值差异具有统计学意义。结论 接纳承诺疗法可以改善双相情感障碍患者的临床症状，提高心理灵活性，有效提高患者社会功能及服药依从性。
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| Abstract |
Objective To explore the efficacy and social function of acceptance commitment therapy (ACT) in patients with bipolar disorder.Methods Randomly divide 60 patients with bipolar disorder into control group and intervention group, 30 people in each group, the control group maintained the original drug treatment, the intervention group introduced ACT above the control group, and all intervened for 6 weeks. Before and after the intervention, YMRS and SDS were used to evaluate the symptom level, AAQ-Ⅱ to assess mental flexibility, SDSS to assess social function, and MMAS to assess medication compliance. Results After intervention, there were statistically significant differences between the intervention group in the AAQ-Ⅱ (t = 70.598, P <0.05) and SDSS (t = 41.608, P <0.05) scores compared with the control group. The control group AAQ-Ⅱ (t = -0.453) , P> 0.05) The difference between before and after test is not significant. In the intervention group, YMRS (t = 1.935, P <0.05), SDS (t = 3.695, p <0.05), AAQ-Ⅱ (t = 65.66, p <0.05), SDSS (t = 41.025, p <0.05) and MMAS ( t = 8.831, p <0.05) The difference in the difference between before and after intervention is statistically significant. Conclusion Accept commitment therapy can improve the clinical symptoms of patients with bipolar disorder, increase psychological flexibility, and effectively improve patients social function and medication compliance.
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