焦点解决团体治疗联合艾司西酞普兰对抑郁障碍患者心理弹性和希望水平的影响  

Effect of solution-focused group therapy combined with escitalopram on resilience and hope level of patients with depressive disorder

作　　者：田青 伊辉军 张海东 TIAN Qing;YI Huijun;ZHANG Haidong(Changchun Sixth Hospital,Changchun 130052,China)

机构地区：[1]长春市第六医院,吉林长春130052

出　　处：《心理月刊》2024年第21期165-168,共4页

摘　　要：目的探讨焦点解决团体治疗(SFGT)联合艾司西酞普兰对抑郁障碍患者心理弹性和希望水平的影响。方法选择长春市第六医院2023年5月~2024年5月收治的符合《中国精神障碍分类与诊断标准(第3版)》抑郁症诊断标准的90例患者,按照随机数字表法分为对照组(45例,给予艾司西酞普兰治疗)和实验组(45例,给予SFGT联合艾司西酞普兰治疗),进行为期8周的治疗观察,收集患者的资料进行对比:心理弹性量表(CD-RISC)、希望水平量表(HHI)、精神病患者生存质量问卷(SDSS)。正态计量资料以t检验。结果干预后,实验组的CD-RISC评分优于对照组,差异有统计学意义(P<0.05)。HHI评分实验组高于对照组,差异有统计学意义(P<0.05)。SDSS评分实验组结果优于对照组,差异有统计学意义(P<0.05)。结论SFGT联合艾司西酞普兰对抑郁障碍患者的心理弹性和希望水平具有提升效果,同时对患者的生活质量具有积极的影响,比单一进行药物治疗效果显著。Objective To explore the effect of solution-focused group therapy(SFGT)combined with escitalopram on resilience and hope level of patients with depressive disorder.Methods 90 patients admitted to Changchun Sixth Hospital from May 2023 to May 2024 who met the diagnostic criteria of China Classification and Diagnostic Criteria for Mental Disorders(3rd Edition)from May 2023 to May 2024 were selected and randomly divided into control group(45 cases were treated with escitalopram)and experimental group(45 cases were treated with SFGT combined with escitalopram),and were observed for 8 weeks.The data of patients were collected and compared:Connor-Davidson resilience scale(CD-RISC),Herth hope index(HHI)and social disability screening schedule(SDSS).The t test was used for normal measurement data.Results After the intervention,the CD-RISC score of the experimental group was better than that of the control group,and the difference was statistically significant(P<0.05).The HHI score of the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).The SDSS score of the experimental group was better than those of the control group,and the difference was statistically significant(P<0.05).Conclusion SFGT combined with escitalopram can improve the resilience and hope level of patients with depression,and has a positive impact on their quality of life,which is more significant than drug therapy alone.

关 键 词：焦点解决团体治疗 艾司西酞普兰 抑郁症 心理弹性 希望水平 

分 类 号：R47[医药卫生—护理学]