团体心理治疗对老年抑郁障碍患者生活质量的影响  

Effects of group psychotherapy on quality of life of elderly patients with depressive disorder

作　　者：王峥嵘[1] 

机构地区：[1]河南省商丘市第一人民医院血液净化室,476100

出　　处：《中华健康管理学杂志》2011年第4期243-245,共3页Chinese Journal of Health Management

摘　　要：目的探讨团体心理治疗对老年抑郁障碍患者的效果。方法选择符合中国精神障碍分类与诊断标准的老年抑郁障碍患者82例，将其随机分为两组，观察组42例，对照组40例，两组在年龄、性别、文化程度、住院天数及院前生活环境上，差异无统计学意义。对照组在常规药物治疗的基础上给予一般心理指导，观察组在常规药物治疗的基础上给予团体心理治疗，治疗模式为心理治疗系列活动，时间为4周。治疗前1周和治疗后1周分别对两组患者施汉密尔顿抑郁量表、综合生活质量量表，治疗前两组评分差异无统计学意义。结果4周后观察组抑郁量表（HAMD）总分21．4±5．8，明显低于对照组24．6±6．7（P〈0．01）；综合生活质量评分在观察组与对照组分别在躯体功能（53．09±7．89、44．12±2．70），心理功能（59．09±7．14、43．25±8．01），社会功能（57．75±7．59、47．36±7．65）及总体生活质量因子方面（15．67±2．48、9．97±2．14）都显著高于对照组（P〈0．01）。结论团体心理治疗应用于老年抑郁障碍患者效果良好，患者易于接受，值得在临床中推广使用。Objective To investigate the effect of group psychotherapy on depression in the elderly. Methods A total of 82 elderly patients with depressive disorder were enrolled and assigned to the control group （n = 40） and therapy group （n = 42）. The control group obtained general psychological guide and drug therapy, while the therapy group received group psychotherapy and anti-depressants for 4 weeks. One week before and after the intervention, Hamilton depression scale （HAMD） and synthetic life quality scale were used to estimate the functions of the participants. Results At 4 weeks, total score of HAMD of the therapy group was significantly lower than that of the control group （P 〈 0.01 ）. Synthetic life quality score showed that body, mental and social functions and life quality of the therapy group were significantly higher than the control group. Conclusion Group psychotherapy could be an effective and acceptable treatment for depression in the elderly.

关 键 词：心理疗法 抑郁症 生活质量 

分 类 号：R473.74[医药卫生—护理学]