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目的探讨对网络成瘾(网瘾)患儿实施药物联合心理综合治疗的效果。方法将30例网瘾患儿随机分为试验组和对照组,每组15例。试验组采用抗抑郁、抗焦虑和抗精神病药物联合心理综合疗法,对照组单纯采用抗抑郁、抗焦虑和抗精神病药物治疗,2组均连续治疗8周。分别在治疗前、治疗2周、治疗4周、治疗8周,应用汉密尔顿焦虑量表(HAMA)对网瘾患儿焦虑症状进行评定,应用症状自评量表(SCL-90)分别在治疗前和治疗8周对网瘾患儿疗效进行评定。并与全国常模进行比较。结果治疗前,试验组和对照组HAMA评分比较差异无统计学意义(P>0.05);治疗2周、4周、8周,试验组与对照组比较差异均有统计学意义(Pa<0.05)。试验组和对照组治疗前SCL-90量表显示躯体化、强迫、抑郁、焦虑、敌对、偏执因子评分均明显高于全国常模(Pa<0.01);治疗8周,试验组和对照组SCL-90量表显示躯体化、强迫、抑郁、焦虑、敌对、偏执因子评分均明显低于治疗前(Pa<0.05),且试验组显著低于对照组(Pa<0.05)。结论药物联合心理综合疗法治疗网瘾患儿有较好疗效。
Objective To explore the effects of combined psychotherapy and psychotherapy on children with internet addiction (addiction). Methods 30 cases of children with addiction were randomly divided into experimental group and control group, 15 cases in each group. The experimental group was treated with antidepressant, anti-anxiety and antipsychotics combined with psychotherapy, while the control group was treated with antidepressant, anti-anxiety and antipsychotic drugs only. The two groups were treated for 8 weeks continuously. The anxiety symptoms in children with addiction were assessed by Hamilton Anxiety Scale (HAMA) before treatment, 2 weeks after treatment, 4 weeks after treatment, and 8 weeks after treatment. Symptom Checklist 90 (SCL-90) And 8 weeks of treatment for children with addiction efficacy evaluation. And compared with the national norm. Results Before treatment, there was no significant difference in HAMA score between the experimental group and the control group (P> 0.05). After 2 weeks, 4 weeks and 8 weeks of treatment, the difference between the experimental group and the control group was statistically significant (P <0.05) . The scores of somatization, compulsiveness, depression, anxiety, hostility and paranoid factors in test group and control group before treatment were all significantly higher than those in national norm (Pa <0.01). After 8 weeks of treatment, SCL-90 in experimental group and control group -90 scale showed that the scores of somatization, compulsion, depression, anxiety, hostility and paranoid factors were significantly lower than those before treatment (Pa <0.05), and the scores in the experimental group were significantly lower than those in the control group (Pa <0.05). Conclusion The combination therapy of drugs and psychotherapy has a good effect on children with addiction.