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蒋庆飞, 王卫平, 胡美玉, 杨帆. 综合心理干预对抑郁症患者心理行为影响[J]. 中国公共卫生, 2013, 29(6): 878-880. DOI: 10.11847/zgggws2013-29-06-32
引用本文: 蒋庆飞, 王卫平, 胡美玉, 杨帆. 综合心理干预对抑郁症患者心理行为影响[J]. 中国公共卫生, 2013, 29(6): 878-880. DOI: 10.11847/zgggws2013-29-06-32
JIANG Qing-fei, WANG Wei-ping, HU Mei-yu.et al, . Effect of comprehensive psychotherapy on psycho-behavior in patients with depression[J]. Chinese Journal of Public Health, 2013, 29(6): 878-880. DOI: 10.11847/zgggws2013-29-06-32
Citation: JIANG Qing-fei, WANG Wei-ping, HU Mei-yu.et al, . Effect of comprehensive psychotherapy on psycho-behavior in patients with depression[J]. Chinese Journal of Public Health, 2013, 29(6): 878-880. DOI: 10.11847/zgggws2013-29-06-32

综合心理干预对抑郁症患者心理行为影响

Effect of comprehensive psychotherapy on psycho-behavior in patients with depression

  • 摘要: 目的探讨综合心理干预对抑郁症患者心理行为的影响,为抑郁症的临床干预提供依据。方法采用便利抽样方法抽取浙江省金华市第二医院的197例抑郁症患者为研究对象,随机分为干预组(99例)和对照组(98例),对照组采用单纯抗抑郁药物治疗,干预组在药物治疗基础上增加每周1次共12次的综合心理干预,分别于干预前、干预4周末、干预12周末、1年后随访时进行问卷调查。结果干预前,2组抑郁症患者汉密尔顿抑郁量表(HAMD)、简易应对方式问卷(SCSQ)、自杀态度问卷(QSA)各因子得分差异均无统计学意义(P>0.05);干预4周末,2组患者HAMD总分均低于干预前(P<0.01),干预组HAMD总分(12.51±1.67)分低于对照组(13.44±2.03)分(t=3.50,P<0.01);干预12周末,除对照组SCSQ的积极应对及QSA 的对自杀者家属的态度因子外,对照组和干预组各量表各因子得分与干预前比较差异均有统计学意义(P<0.01),干预组与对照组各量表各因子得分差异也均有统计学意义(P<0.05);1年后随访,除对照组QSA的对自杀者家属的态度因子外,对照组和干预组各量表各因子得分与干预前比较,差异均有统计学意义(P<0.05),除QSA的对自杀者家属的态度因子外,干预组与对照组各量表各因子得分差异均有统计学意义(P<0.05);干预组和对照组患者的抑郁复发率分别为7.53%(7/93)和19.57%(18/92),差异有统计学意义(χ2=5.67,P<0.05);干预组和对照组患者自杀发生率分别为2.15%(2/93)和8.70%(8/92),差异有统计学意义(χ2=3.85,P<0.05)。结论抗抑郁药物联合综合心理干预,能更快地控制症状、更有效地改变态度和行为,使复发率、自杀率下降,是理想的治疗模式。

     

    Abstract: ObjectiveTo study the effect of comprehensive psychotherapy on psycho-behavior in patients with depression. MethodsTotally 197 patients with depression were divided into a study group and a control group randomly,and treated only with antidepressant or combined with comprehensive psychotherapy for 12 weeks.The psycho-behavior was assessed with Hamilton Depression Scale(HAMD),Simplified Coping Style Questionnaire(SCSQ),and Suicide Attitude Questionnaire(QSA) before and 4,12 weeks and 1 year after the treatment. ResultsThere were no significant differences in all factor scores between the two groups before the treatment(P>0.05 for all).The total points of HAMD decreased remarkably in the two groups by the end of 4th week(P<0.01)and the decrease in the study group was significantly greater than that in the control group(P<0.01).At the end of 12th week,all factor scores except positive coping and factor of attitude torwads the familiy members of suicides (F3) of the study group were significantly different from those of before the treatment(P<0.01).There were also differences in the scores between study group and control group (P<0.05 or P<0.01).All factor scores except F3 were significantly different (P<0.05 or P<0.01)and there were also differences in relapse and suicide rate between two groups(χ2=5.67,P<0.05;χ2=3.85,P<0.05)by the end of 1-year follow-up. ConclusionComprehensive psychotherapy combined with antidepressant can control the symptoms and change the attitude of the patients with depression more quickly and effectively,which could serve as a ideal model to reduce relapse and suicide rates of depression patients.

     

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