Efficacy analysis of the empathy-based attribution analysis-cognitive restructuring-pharmacological treatment model in the management of globus syndrome

IF 1.8 4区 医学 Q2 OTORHINOLARYNGOLOGY American Journal of Otolaryngology Pub Date : 2024-07-21 DOI:10.1016/j.amjoto.2024.104421
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Abstract

Objective

The aim of this study is to investigate the clinical efficacy of the empathy-based attribution analysis-cognitive restructuring-pharmacological treatment model for the management of globus syndrome.

Method

Sixty-nine newly diagnosed patients with globus syndrome at the Wenzhou People's Hospital Department of Gastroenterology outpatient clinic were enrolled in this study. After obtaining informed consent, patients were randomly assigned to either the observation group (attribution analysis-cognitive restructuring-classical pharmacotherapy; n = 35) or the control group (pharmacotherapy alone; n = 34), with a treatment course of 4 weeks. Efficacy assessments were conducted before and during treatment using the 9-item Patient Health Questionnaire-9 (PHQ-9), the 7-item Generalized Anxiety Disorder-7 (GAD-7), and the Patient Health Questionnaire-15 (PHQ-15).

Results

After four weeks of treatment, the total efficacy rate was 100 % in the observation group and 27.6 % in the control group, with a statistically significant difference between the groups (P < 0.05). Scores on the PHQ-9, GAD-7, and PHQ-15 significantly improved in the observation group compared to before treatment and were better than those in the control group, with statistically significant differences (P < 0.05).

Conclusion

The empathy-based attribution analysis-cognitive restructuring-pharmacological treatment model for the management of globus syndrome demonstrated good clinical efficacy, providing strong evidence for further clinical promotion.

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基于移情的归因分析--认知重组--药物治疗模式在治疗空洞综合征中的疗效分析
方法选取温州市人民医院消化内科门诊新确诊的69例胃肠综合征患者为研究对象。在获得知情同意后,患者被随机分配到观察组(归因分析-认知重组-经典药物治疗;n=35)或对照组(单纯药物治疗;n=34),疗程为4周。在治疗前和治疗过程中,使用 9 项患者健康问卷-9(PHQ-9)、7 项广泛性焦虑症-7(GAD-7)和患者健康问卷-15(PHQ-15)进行疗效评估。结果治疗 4 周后,观察组的总有效率为 100%,对照组为 27.6%,组间差异有统计学意义(P <0.05)。观察组的PHQ-9、GAD-7、PHQ-15评分与治疗前相比有明显改善,优于对照组,差异有统计学意义(P <0.05)。结论基于移情归因分析-认知重组-药物治疗模式治疗空想综合征取得了良好的临床疗效,为进一步临床推广提供了有力证据。
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来源期刊
American Journal of Otolaryngology
American Journal of Otolaryngology 医学-耳鼻喉科学
CiteScore
4.40
自引率
4.00%
发文量
378
审稿时长
41 days
期刊介绍: Be fully informed about developments in otology, neurotology, audiology, rhinology, allergy, laryngology, speech science, bronchoesophagology, facial plastic surgery, and head and neck surgery. Featured sections include original contributions, grand rounds, current reviews, case reports and socioeconomics.
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