Study On The Clinical Psychological Intervention Of Family Therapy On Somatization Disorder

Objective: To understand the clinical characteristics of first-visit outpatients with somatization disorder.Meanwhile explore the clinical effect of short-term family therapy in patients with somatization disorder.Methods: 104 patients with somatization disorder,who matched the inclusion and exclusion standard.Subjects were equally randomly divided into the intervention or control group,52 cases in each group.Patients in control group received venlafaxine and general health education,while,family psychotherapy was taken into intervention group.Study period was 8 weeks.Using the self-made general information questionnaire,Screening for Somatoform Symptoms-7(SOMS-7),Hamilton Anxiety Scale(HAMA),Hamilton Depression Rating Scale(HAMD),20-Item Toronto Alexithymia Scale(TAS-20),Family Assessment Device(FAD)to assess the research object within 2,4,6,8 week respectively.The results were statistically analyzed with the system of Statistical Package for Social Science(SPSS 17.0)software package,including statistical procedure as descriptive analysis,correlation analysis,T-test,?2 test,and Ridit analysis.Results: A total of 104 patients were enrolled,and 98 completed the study,including a 48-person control group and a 50-person treatment group.1.Clinical characteristics(1)Intra-block analysis: Two groups of patients with somatization disorder,total scale and each factor score on SOMS-7,HAMA and HAMD had different degree to reducing over time at 2,4,6,8 weeks respectively.(2)Intergroup analysis: There was no significant difference in the scores of SOMS-7,HAMD and HAMA between the two groups before treatment(P>0.05).From the second week of treatment,the study group HAMA scale mental anxiety factor scores were significantly lower than the control group(P<0.05);from the fourth weekend,the study group of SOMS-7 scale and the number of somatic symptoms total score,HAMA total score and somatic anxiety factor,HAMD score and anxiety / somatization,sleep disorder factor the score was significantly lower than the control group(P<0.05 or P<0.01);from the sixth weekend,the study group HAMD cognitive impairment scale and retardation factor score was significantly lower than the control group(P<0.01).The amount of SOMS-7 at the end of the study group table,HAMA The score of HAMD scale except weight factor was significantly lower than that of control group(P<0.05)(3)Used total score of SOMS-7 to to assess the clinical evaluation,The effective rate of the control group was 89.58%,and the effective rate of the study group was 94%.There were significant differences in data by using Ridit analysis(R?=0.423,R?=0.574,u=-2.914,P<0.05).2.Alexithymia characteristics: Most patients had alexithymia with total score on TAS-20(62.94 ± 6.22),about 94.88% patients associated with alexithymia.Intra-block analysis showed that total score of TAS-20 and detection rate of alexithymia were significant changed after intervention(P<0.05)in treatment group,while,there was no significant difference in the control group(P>0.05);Intergroup analysis showed that there was no significant difference before treatment(P>0.05),but significant differences appeared between the two groups at the 8th weekend(P<0.05).3.Family function characteristics: Their family functioning had sevral problems with total score on FAD(140.69 ± 19.22),and average factor score(2.34 ±0.32).Intra-block analysis showed that there was no significant difference in the control group(P>0.05);total scale score and problem solving,communication,character,emotion,emotional involvement factor scores of FAD reduced significantly after treatment(P<0.001),and control factor of lower wasn't significant(P>0.05).Intergroup analysis showed that there was no significant difference before treatment(P>0.05),but significant differences appeared between the two groups at the 8th weekend except control factor(P<0.05).Conclusions: 1.Family therapy combined with venlafaxine and general health education on patients with somatic symptoms,has more obvious effect on anxiety and depression.2.Patients with somatization disorder often have the feeling disorder and bad family function.Family therapy can improve the alexithymia of patients with somatization disorder,improve the patient's family.