阅读疗法对抑郁症疗效的观察  

A study of bibliotherapy in the treatment of depression

作　　者：范文田[1] 王旸[2] 徐清芝[1] 

机构地区：[1]山东省精神卫生中心,济南250014 [2]山东大学医学院

出　　处：《中国行为医学科学》2006年第4期336-337,共2页Chinese Journal of Behavioral Medical Science

摘　　要：目的探讨阅读疗法对抑郁症患者的治疗效果。方法将85例抑郁症患者随机分为干预组(41例)和对照组(44例)。干预组在日常药物治疗和相应康复治疗的基础上同时使用阅读疗法进行康复干预研究,对照组仅进行相应的药物治疗及一般的康复治疗。采用24项汉密顿抑郁量表(HAMD)在干预前后对两组患者分别进行疗效评估。结果干预28d后,干预组和对照组各因子分比干预前均有显著降低(P<0.01),各项因子干预前后差异有极显著性,但干预组因子分降低幅度大于对照组,焦虑躯体化降低值[(2.46±1.95)分,(1.00±1.56)分,P<0.01]、睡眠障碍降低值[(1.00±1.18)分,(0.23±1.36)分,P<0.001]、绝望感降低值[(3.02±1.75)分,(1.50±1.79)分,P<0.01]、总分降低值[(9.59±3.91)分,(6.59±3.01)分,P<0.01]差异有极显著性。结论阅读疗法对抑郁症患者是一种有效的辅助康复治疗方法。Objective To explore the efficacy of bibliotherapy in the treatment of depression. Methods A total of 85 patients with depression were randomly assigned to receiving either with bibliotherapy（ n =41 ） or without bibliotherapy （ n =44） for 4 weeks. The clinical efficacy was evaluated with the Hamilton Depression Scale （HAMD）. Results At the end of study, there were significant differences of decreased scores of HAMD between after study and before study in both the two groups. But the differences of decreased scores were significant in the two groups on anxiety and somatization factors（ 2.46 ± 1.95,1.00 ± 1.56, t = 3. 837, P〈 0.01 ）, sleep disturbance factors（ 1.00 ± 1.18,0.23 ± 1.36, t = 3. 968, P 〈 0.01 ）, hopeless factors （3.02 ± 1.75,1.50 ± 1.79, t = 3. 973, P 〈 0.01 ） and total score （9.59 ± 3.91,6.59 ± 3.01, t = 3. 837, P 〈 0.01 ）. Conclusion The bibliotherapy is an effective adjutant method of rehabilitation for patients with depression.

关 键 词：抑郁症 阅读疗法 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R749.059[医药卫生—临床医学]