自我价值疗法对抑郁症患者心理社会功能影响  

Self-worth therapy for depressive symptoms in patients of psychological wards

作　　者：李桂萍[1] 章秋萍[1] 朱小英[1] 

机构地区：[1]浙江省杭州市第七人民医院,浙江杭州310012

出　　处：《中国农村卫生事业管理》2013年第4期401-403,共3页Chinese Rural Health Service Administration

摘　　要：目的:探讨抑郁自我价值治疗对抑郁症患者心理社会功能的影响。方法:选取抑郁症患者148例,随机分为研究组和对照组,研究组给予抗抑郁药物治疗和自我价值治疗训练,对照组常规抗抑郁药物治疗和一般的健康教育。在治疗前、治疗2个月后分别进行17项汉密尔顿抑郁量表(HAMD17)、功能失调性态度问卷(DAS)、领悟社会支持量表(PSSS)、一般自我效能感量表(GSES)等评定。结果:①治疗前,2组在HAMD17、DAS、PSSS、GSES量表评分相近;②治疗2个月后,2组在HAMD17改善程度上差异无统计学意义(P值>0.05),但研究组在DAS、PSSS、GESE改善程度优于对照组(P值<0.05)。结论:通过抑郁自我价值治疗训练明显提高患者的心理社会功能,使患者的家庭关系、人际关系、工作能力、应对方式都得到明显的改善。Objective To report the effects of self--worth therapy on depressive symptoms in patients of psychologi- cal wards. Background Depression in patients has become a serious healthcare issue worldwide. Pharmacological and non--pharmacological therapies have been shown to have inconsistent effects, and drug treatment can have important side--effects. Methods A quasi--experimental design was used. Patients were sampled from psychological wards in Hangzhou Seventh Hospital between 2010 and 2011. To be included in the study participants had to： （i） have no se- vere cognitive deficits~ （ii） test positive for depressive status and （iii） take the same antidepressant medication in the previous 3 months and throughout the study. Participants in the experimental group（n= 78）received 30 minutes of one --to--one self--worth therapy on 1 day a week for 4 weeks. Control group participants（n= 70）received no therapy, but were individually visited by the same research assistant,who chatted with them for 30 minutes on 1 day/week for 4 weeks. Depressive status,cognitive status and functional status were measured at baseline,immediately after the intervention and 2 months later. Data were analyzed by t-- test and chi-- squared. Results Self-- worth therapy immediately decreased depressive symptoms relative to baseline,but not relative to control treatment. However,2 months later,depressive symptoms were statistically significantly reduced relative to control. Conclusions Self--worth therapy is an easily- administered,effective,non--pharmacological treatment with potential for decreasing depressive symptoms in patients of psychological wards.

关 键 词：自我价值治疗 抑郁症 护理 

分 类 号：R473.74[医药卫生—护理学] R749.4[医药卫生—临床医学]