针对性心理干预对抑郁症患者病耻感的影响  

Effect of the directed psychological intervention on the stigma of patients with depression

作　　者：贾春岚[1] 

机构地区：[1]山东省精神卫生中心,山东济南250014

出　　处：《齐鲁护理杂志》2013年第7期14-15,共2页Journal of Qilu Nursing

摘　　要：目的:探讨针对性心理干预对抑郁症患者病耻感的影响。方法:将300例抑郁症患者按就诊时间随机分为对照组和实验组各150例。对照组给予常规心理干预;实验组在此基础上,针对其病耻感进行心理干预。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、汉密顿抑郁量表(HAMD)、症状自评量表(SCL-90)评价患者心理状态,采用Link系列病耻感量表中的病耻感情感体验量表(SRF)和病耻感应对量表(COR)评价患者病耻感改变情况,比较两组干预效果。结果:实验组SDS、SAS、SCL-90、病耻感量表评分及康复情况与对照组比较差异有统计学意义(P<0.05,P<0.01)。结论:针对性心理干预能减轻抑郁症患者病耻感,促进康复。Objective ： To explore the effect of the directed psychological intervention on the stigma of patients with depression. Methods ： 300 patients with depression were randomly divided into the control group and the experimental group （ 150 cases in each group ）aecording to the consultation time. The patients in the control group received conventional psychological intervention and the directed psychological intervention towards the stigma of patients with depression was additionally implemented in the experimental group. Self - Rating Anxiety Scale （ SAS ）, Self - rating Depression Scale （ SDS ）, Hamilton Depression Scale （ HAMD ）and Symptom Checklist 90 （ SCL - 90 ） were used to evaluate the mental state of the patients ; SRF and COR were used to evaluate stigma changes of the patients. Then the intervention effect was compared between the two groups. Results ： There were statistically significant differences in the comparison of the scores of SDS, SAS, SCL - 90, Stigma Scale and rehabilitation between the two groups （ P 〈 0. 05, P 〈 0.01 ）. Conclusion ： The directed psychological in- tervention can relieve stigma of patients with depression and promote their rehabilitation.

关 键 词：病耻感 抑郁症 心理干预 

分 类 号：R473.5[医药卫生—护理学]