接纳承诺疗法对1例双相情感障碍患者在新冠肺炎疫情中的情绪调节

Mood regulation of a patient with bipolar disorder during the epidemic of novel coronavirus pneumonia after receiving acceptance and commitment Therapy

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(3)
作者
作者单位

南昌大学第一附属医院 ;
抚州市第三医院 ;

摘要
新型冠状病毒肺炎 (简称“新冠肺炎”,novel coronavirus pneumonia,NCP) 主要引起呼吸道感染, 严重时出现全身各系统并发症, 甚至死亡, 严重威胁全球公共卫生安全。自2019年12月在湖北省武汉市爆发以来,在短时间内蔓延至国内多个省份及日本、泰国、美国等部分海外国家,传染性极强。截止2020年2月20日,世界卫生组 织发布的公告显示,全球累计确诊病例76 769例, 中国累计75 569例,死亡2 239例。双相情感障碍(Bipolar Disorder,BD)是指既有躁狂发作又有抑郁发作的一种重性精神疾病情感症状是 BD 患者的典型特征,即使在缓解期,双相情感障碍患者也存在诸多问题,且都与情绪息息相关,患者情绪的不稳定性所伴随的认知、行为以及社会心理问题使得双相情感障碍成为人类高负担的疾病。认知行为治疗是当前对双相情感障碍具有较高临床疗效的心理治疗方法之一 ,接纳承诺疗法(Acceptance and Commitment Therapy,ACT)由美国心理学教授海斯博士和其同事创立,是认知行为疗法“第三次浪潮”中最具有代表性的治疗方法之一,是融合东方哲学的一种经验性行为心理治疗。ACT是以人类语言、认知关系框架理论和功能性语境主义哲学为基础,促使个体接纳自己的心理体验,来减少患者的经验性回避,提升心理灵活性,帮助患者过有意义的人生。接纳承诺疗法已应用于精神分裂症、抑郁症、双相情感障碍、焦虑症等患者,通过关注当下、以己为景、明确价值观、承诺行动等过程来帮助患儿父母认识和接纳自己的情绪,明确自己的价值观,鼓励接纳和察觉。目前我国处在新型冠状病毒肺炎疫情期,很多康复期精神患者也受疫情报道影响自身心理状态,传统的心理治疗方法治疗时间长,费用较高,治疗过程比较痛苦,并且对心理分析师和心理治疗师的要求比较高,而接纳承诺疗法 (Acceptance and Commit- ment Therapy,ACT) 的诞生为强迫症的干预提供了一种新取向。
Abstract
2019-ncov pneumonia mainly causes respiratory tract infection, serious systemic complications, even death, a serious threat to global public health security. Since the outbreak in Wuhan, Hubei Province in December 2019, it has spread to many provinces in China and some overseas countries such as Japan, Thailand and the United States. As of February 20,2020, the World Health Organization, the announcement issued by the organization, the cumulative global confirmed cases of 76,769, Chinas cumulative 75,569 cases, 2239 deaths. Bipolar disorder, an emotional symptom of severe mental illness that combines manic and depressive episodes, is typical of BD patients, who have problems even in remission, said bipolar disorder, a psychiatrist at the University of California, San Diego, it is also linked to mood, and the emotional instability of patients with cognitive, behavioral, and psychosocial problems makes bipolar disorder a high burden of human disease. Acceptance and Commitment Therapy is currently one of the most clinically effective forms of psychotherapy for bipolar disorder, and acceptance commitment therapy was established by American psychology professor Dr. Rutherford B. Hayes and his colleagues, it is one of the most representative therapy methods in the third wave of cognitive behavior therapy, and it is also an empirical behavior psychotherapy with Oriental Philosophy. Act is based on human language, cognitive relation frame theory and functional contextualism philosophy, which can help individuals to accept their own psychological experience, reduce the patientsexperiential avoidance and enhance their mental flexibility, to help patients lead meaningful lives. Acceptance Commitment therapy has been used in patients with schizophrenia, depression, bipolar disorder, anxiety, etc. , by focusing on the present moment, self-image, clear values, commitment to action and other processes to help parents recognize and accept their own emotions, clear their values, encourage acceptance and awareness. At present, our country is in the period of 2019-ncov pneumonia epidemic, and many mental patients in the convalescent period are also affected by the reports of the epidemic. The traditional psychological treatment methods are long time, high cost and painful in the treatment process, moreover, the requirements for psychoanalysts and psychotherapists are high, and the birth of acceptance commitment therapy provides a new orientation for the intervention of OCD.
关键词
接纳承诺疗法;新冠状病毒肺炎;双相情感障碍;个案报告
KeyWord
Acceptance and Commitment Therapy;novel coronavirus pneumonia;Bipolar Disorder; Case report
基金项目
页码 442-446
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胡茂荣*,袁滨. 接纳承诺疗法对1例双相情感障碍患者在新冠肺炎疫情中的情绪调节 [J]. 国际精神病学杂志. 2020; 47; (3). 442 - 446.

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