| Objective: Generalized anxiety disorder(GAD)was a mental disorder.The latest results of the Chinese Mental Health Survey(CMHS)showed anxiety disorder had the highest prevalence rate,which was 7.57%.Anxiety emotion seriously damaged the social function of patients and caused serious social burden.GAD was a chronic anxiety disorder,the symptoms of patients with generalized anxiety disorder were not as severe as panic disorder and other acute anxiety disorders,it was easy to be ignored and difficult to get effective treatment.Therefore,it was very important to find an effective treatment method.At present,the treatment of patients with generalized anxiety disorder was mainly drug therapy and psychological therapy,the prognosis was poor.Considering that the psychological deviation of patients with generalized anxiety disorder was mainly due to the intolerance of uncertainty.And the intolerance of uncertainty will lead to the psychological imbalance of patients,which in turn aggravate anxiety.Moreover,the results of questionnaire survey show that there was a high correlation between anxiety level and psychological imbalance(r=0.411).Therefore,this study attempted to use Group Balance Psychotherapy(GBPT)to treat generalized anxiety disorder.Methods: Generalized Anxiety Disorder Inventory-7(GAD-7),Patient Health Questionnaire-9(PHQ-9),Eysenck Personality Questionnaire-Revised Short Scale-Neuroticism and Four-Dimensional Neuroticism Scale(FD-N)were used to evaluate effects with generalized anxiety disorder.According to the criteria of inclusion and exclusion,subjects will be randomly assigned to treatment group and control group.The treatment group received eight weeks of GBPT,the control group received eight weeks of psychological lectures.Results: There was no significant difference in GAD-7 scores between control group and treatment group at baseline(t=-0.371,p >0.05).After 8 weeks,the GAD-7 scores in the both groups were significantly decreased(p <0.01),and there was a significant difference in GAD-7 scores between control group and treatment group after 8 weeks(t=-3.11,p <0.01),the reduction rate in the treatment group was significantly higher than that in the control group(t=5.07,p <0.01);There was no significant difference in PHQ-9 scores between the treatment and control groups at baseline(t=-0.811,p >0.05).After 8 weeks,PHQ-9 scores in the both groups were significantly decreased(p <0.05),and there was a significant difference in PHQ-9 scores between the treatment and control groups after 8 weeks(t=-3.087,p <0.01),the reduction rate in the treatment group was significantly higher than that in the control group(t=3.04,p <0.05);There was no significant difference in EPQ-RSC-N between the treatment group and the control group at baseline(t=-0.124,p >0.05).After 8 weeks,EPQ-RSC-N scores in the both groups were significantly decreased(p <0.01),and there was a significant difference in EPQ-RSC-N scores between the treatment group and the control group after 8 weeks(t=-3.195,p <0.01),the reduction rate in the treatment group was significantly higher than that in the control group(t=4.36,p <0.01);There was no significant difference in FD-N scores between the treatment group and the control group at baseline(t=-0.005,p >0.05).After 8 weeks,FD-N scores in the both groups were significantly decreased(p <0.01),and there was a difference in FD-N scores between the treatment and control groups after 8 weeks(t=-2.06,p <0.05),but there was no significant difference in the reduction rates(t=1.34,p =0.19).Conclusion: GBPT can significantly improve the efficacy of patients with generalized anxiety disorder,has significant advantages in alleviating anxiety,depression and neuroticism of patients.And it can be used as an psychotherapy for generalized anxiety disorder. |