认知行为治疗产后抑郁的效果  

COGNITIVE BEHAVIORAL THERAPY FOR POSTPARTUM DEPRESSION

作　　者：刘小翠[1] 吕江玲[1] 林炫劲[1] 李吉祝[1] 

机构地区：[1]青岛市精神卫生中心,山东青岛266034

出　　处：《齐鲁医学杂志》2013年第2期168-170,共3页Medical Journal of Qilu

基　　金：青岛市医药科研指导计划项目(2004-wszd051)

摘　　要：目的探讨认知行为治疗产后抑郁的效果。方法产后抑郁产妇120例,随机分为两组,各60例。认知治疗组(CBT组)给予艾司西酞普兰和认知行为治疗,对照组给予艾司西酞普兰治疗。两组均于治疗前及治疗后2、4、8周进行汉米尔顿抑郁量表(HAMD)评定,并观察两组不良反应发生情况。结果 CBT组HAMD总分、焦虑-躯体化、认识障碍、迟缓及绝望感得分低于对照组,差异有显著性(t=2.20～3.44,P<0.05);CBT组不良反应总人次及头痛、恶心、头晕发生率低于对照组,差异有显著性(χ2=6.00～7.94,P<0.05)。结论认知行为治疗可有效改善产妇产后抑郁情绪。Objective To explore the effect of cognitive behavioral therapy(CBT) for postpartum depression(PPD).Methods A total of 120 patients with PPD were evenly randomized to CBT group and control group.The patients in CBT group received escitalopram plus CBT,and those in the control were treated with escitalopram only.An assessment was done in both groups by using Hamilton Depression Rating Scale(HAMD)-before and 2,4,and 8 weeks after treatment.The adverse reaction was observed.Results The score of HAMD,anxiety-somatization disorder,cognitive disturbance,retardation and hopelessness in CBT group was lower than that in the control(t=2.20-3.44,P<0.05) and the adverse reaction incidence such as headache,nausea,and dizziness was also lower(χ2=6.00-7.94,P<0.05).Conclusion CBT can effectively improve women with postpartum depression.

关 键 词：抑郁症 产后 认知疗法 行为疗法 治疗结果 

分 类 号：R714.7[医药卫生—妇产科学]