小组认知行为联合药物治疗对老年抑郁症的疗效评估  

To evaluate the efficacy of cognitive-behavioral group therapy combined with drug therapy in the treatment of senile depression

作　　者：周剑[1] 方政华[1] 黄超[1] 曾丽红[1] 陈辞珍[1] 

机构地区：[1]湖南省第二人民医院,湖南长沙410007

出　　处：《临床医药实践》2014年第2期87-90,共4页Proceeding of Clinical Medicine

摘　　要：目的:探讨小组认知行为联合药物治疗对老年抑郁症的疗效。方法:将126例老年抑郁症患者随机分为两组,一组行单纯药物治疗,另一组行药物合并小组认知行为治疗。于治疗前及治疗后2,6,12个月,采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)和自动想法问卷(ATQ)评定患者的临床疗效;同时行连续执行测验(CPT)评定患者的认知功能;并于治疗后2个月末,进行两组疗效因子评分比较。结果:联合治疗组较单纯药物组抑郁症状改善明显,情绪宣泄、人际学习(获取)、人际学习(付出)、团体凝聚力、自我了解等5个因子在疗效因子评估中占优。结论:小组认知行为治疗联合药物治疗能提高对老年抑郁症的疗效,有效改善患者功能失调性认知、应对方式,提高患者的生活满意度,远期疗效较好。Objective：To investigate the efficacy of cognitive-behavioral group therapy and drug therapy in senile depres-sion patients. Methods：One hundred and twenty-six patients were separated into two groups randomly, one group were treated with the antidepressants only, the other were treated with antidepressants and cognitive-behavioral group therapy. Efficacy was assessed with Hamilton Depression Scale （ HAMD ）, Hamilton Anxiety Scale （ HAMA ） 及 Automatic Thoughts Questionnaire （ATQ） at the time such as before therapy, after therapy 2,6,12 months. The cognitive function of patients was assessed by continuous performance test（CPT）. Two group were also assessed by Yalom＇s therapeutic factors questionnaire at the end of two months. Results：Patients in cognitive-drug groups have acquired the better efficacy than who in only drug-therapy group. It was suggested that the important therapeutic factors were university catharsis, interpersonal learning （input）, interpersonal learning （output）, group cohesiveness, self-understand. Conclusion：It is suggested that the cognitive-behavioral group therapy combined with drug therapy can improve the efficacy of senile depression patients, dysfunctional cognition, coping skills and the life satis- faction, and gain long-term efficacy.

关 键 词：老年抑郁症 小组认知行为治疗 药物治疗 疗效因子 

分 类 号：R749.4[医药卫生—神经病学与精神病学]