抑郁/焦虑症患者诊疗中心态和家庭关系的变化  

Changes of psychological state and family relationship in process of treatment for depression and anxiety

作　　者：鲁威[1] 陈福国[1] 

机构地区：[1]上海交通大学医学院医学心理学教研室,上海200025

出　　处：《上海交通大学学报（医学版）》2008年第2期183-185,共3页Journal of Shanghai Jiao tong University:Medical Science

摘　　要：目的研究神经症(抑郁/焦虑症)患者在诊疗期间心态和家庭环境的变化情况。方法采用汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)、抑郁自评量表(SDS)、焦虑自评量表(SAS)、家庭环境量表(FES)及家庭亲密度与适应性量表(FACESⅡ-CV)等工具,评估综合性医院抑郁/焦虑症患者(n=45)及其家人(n=45)在患者接受治疗前后的心理状态和家庭关系的变化情况。结果患者组接受干预前的HAMD、HAMA、SDS、SAS,无论自评和他评的结果均高于正常值范围的上限,符合相关的诊断标准。在经过2～3个月的心理及药物干预后,负性情绪平均分值已处在正常值范围之内,且与干预前比较有非常显著差异;此外,患者FES及FACESⅡ-CV在干预前后也有显著改善。家属组在患者接受干预前后的抑郁/焦虑评分水平虽均处于正常值范围之内,但在干预后阶段的水平明显低于干预前。结论随着患者在接受干预后抑郁、焦虑症状的改善,家属心理压力得到缓解,家庭关系及功能也得到部分恢复。患者的康复过程对家庭功能的逐步健全有着十分重要的价值。Objective To investigate the changes of psychological state and family environment of the patients with neurosis （including depression and anxiety） in the process of treatment. Methods The Hamilton depression scale （HAMD） , Hamilton anxiety scale （HAMA） , self-rating depression scale （SDS） , self-rating anxiety scale （SAS） , family environment scale（FES）, and family adaptability and cohesion scale（FACES ⅡoCV） were used to evaluate the changes of psychological state and family relationship in the process of treatment among patients with depression and anxiety hospitalized in general hospitals （ n = 45） and their family members （ n = 45）. Results Before intervention, values of HAMD, HAMA, SDS and SAS in patients were higher than normal ones, and were in line with the corresponding diagnostic criteria. After psychological intervention and medication for 2 to 3 months, symptoms such as depression and anxiety were improved significantly, and values of the above scales were within normal ranges. Besides, there was also significant improvement in FES and FACES Ⅱ-CV after intervention among the patients. All the values of the family members were in the normal ranges before intervention, however, significantly positive changes were observed after intervention. Conclusion With the improvement in depression and anxiety after intervention among patients, the psychological pressure of family members is released, and family relationship is partially restored. The rehabilitation of patients plays an important role in the restoration of family function.

关 键 词：抑郁 焦虑 心理状态 家庭关系 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R749.7[医药卫生—临床医学]