支持性心理治疗对复发老年抑郁症患者抑郁症状及生活质量的影响  

Effective of supportive psychotherapy on the quality of life in relapsing patients with geriatric depression

作　　者：陈怡[1] 梁其生 叶伟健[1] 黄祖历 

机构地区：[1]广东省肇庆市第三人民医院老年科,肇庆52606

出　　处：《新医学》2013年第3期184-187,共4页Journal of New Medicine

基　　金：肇庆市科技创新计划项目(2011E385)

摘　　要：目的:观察支持性心理治疗对复发老年抑郁症患者抑郁症状及生活质量的影响。方法:将复发老年抑郁症患者80例随机分为支持性心理治疗(研究组,40例)与单纯抗抑郁药治疗(对照组,40例),采用老年抑郁量表(GDS)及WHO生活质量简易测定量表中文版(WHO-QOL-BREF),对两组治疗前后的效果及生活质量情况进行测评。结果:治疗8周后,研究组抑郁症状改善情况明显优于对照组(P<0.05)。两组患者的生活质量均有改善,研究组的心理领域及社会关系领域情况显著好于对照组(P<0.05～P<0.01)。结论:支持性心理治疗有助于在短期内减轻复发老年抑郁症患者抑郁症状,改善患者的生活质量。Objective： To investigate the effective of supportive psychotherapy on the quality of life of relap- sing patients with geriatric depression. Methods： Eighty cases of depression relapsing patients were divided into supportive psychotherapy （study group） and antidepressant therapy alone （control group） randomly, 40 cases for each group. Application of the Geriatrie Depression Scale （GDS） and easy determination of the quality of life of the World Health Organization Questionnaire in Chinese （WHO-QOL-BREF）, were observed therapeutic effect be- fore and after treatment and quality of life in two groups. Results： The study group was better than the control group significantly （P 〈 0. 05 ）. Both improved the quality of life of patients, psychological field and the field of social relations of the study group was better than the control group significantly （P 〈 0.05- P 〈 0.01 ）. There was statistically significant in difference. Conclusions： Supportive psychotherapy can promote not only the treatment of relapse in patients with geriatric depression, but also improve the quality of life of patients.

关 键 词：老年抑郁症 复发 支持性心理治疗 生活质量 

分 类 号：R749.4[医药卫生—神经病学与精神病学]