摘要:
目的 探讨goo-go内隐关联试验(GNAT)评价集中内观疗法对酒依赖患者内隐认知偏倚的影响.方法 选择2013年10月~2015年12月在南京医科大学附属无锡市精神卫生中心接受治疗的符合酒精依赖诊断标准的28例患者作为研究组,选择与研究组性别、年龄以及文化程度相匹配的28名健康者作为对.照组.研究组予集中内观治疗4周.采用GNAT对治疗前后两组刺激的正确率、反应时及错误率进行测量和比较.结果 试验1与试验2中,对照组治疗前后反应时、正确率以及错误率比较,差异均无统计学意义(P>0.05).治疗前,试验1研究组反应时短于对照组,正确率高于对照组,而错误率低于对照组,差异有统计学意义(P<0.C5).试验2研究组反应时长于对照组,正确率低于对照组,而错误率高于对照组(P<0.05).治疗后,研究组试验1反应时长于治疗前,正确率低于治疗前,而错误率高于治疗前(P<0.05);治疗后试验2反应时长于治疗前,正确率高于治疗前,而错误率低于治疗前(P<0.05).结论 集中内观疗法能够改善酒依赖患者内隐认知偏倚,对预防复饮具有重要的治疗价值.%Objective To investgate the effect of concentrated Naikan therapy on implicit cognitior bias in Alcohol dependent patients using goo-go association task (GNAT).Methods From October 2013 to December 2015,28 patients met the criteria of alcohol dependence were enrolled as research group and matched sexual,age and education degree of 28 healthy persons were enrolled as control group.The research group was treated with concentrated Naikan therapy for 4 weeks.The right rate,response time and false rate were measured and compared by GNAT between the two groups.Results In the control group,there were no significant differences in right rate,response time and false rate between before and after treatment in test 1 and test 2 (P > 0.05).Before treatment,in the research group test 1,the response time was shorter,the right rate was higher and the false rate was lower than those of control group,with statistically significant differences (P < 0.05);in the research group test 2,the response time was longer,the right rate was lower and the false rate was higher than those of control group,with statistically significant differences (P < 0.05).After treatment,in the research group test 1,the response time was longer,the right rate was lower and the false rate was higher than those of before treatment,with statistically significant differences (P < 0.05);in the research group test 2,the response time was longer,the right rate was higher and the false rate was lower than those of before treatment,with statistically significant differences (P < 0.05).Conclusion Concentrated Naikan therapy can improve the implicit cognition of patients with alcohol dependent,which might be a useful methods for preventing the re-drinking behavior.