团体认知行为治疗对抑郁症的临床疗效的评价  

Effect of Group Psychotherapy on the Efficacy of Patients with Depression

作　　者：钱美玲 张博元 林佳妮 卢卫红[2] 陈银娣 张少平 

机构地区：[1]上海康平医院精神科,上海200080 [2]上海市精神卫生中心

出　　处：《国际精神病学杂志》2016年第2期256-258,共3页Journal Of International Psychiatry

基　　金：上海市虹口区特色专病建设项目(编号:沪卫科教[2012]51号);上海市公共卫生优秀学科带头人培养计划(GWDTR201227)

摘　　要：目的评价团体认知行为治疗合并抗抑郁药对社区轻度抑郁症的临床疗效。方法社区轻度抑郁症患者随机分为抗抑郁药物合并团体认知行为治疗(研究组42例)和抗抑郁药物治疗(对照组40例),于治疗前、治疗12周及24周评定汉密顿抑郁量表(HAMD-17)、汉密顿焦虑量表(HAMA)及临床疗效总评量表。结果 HAMD-17、HAMA及CGI总分及各因子时间主效应均存在统计学意义;HAMD-17总分及焦虑/躯体化分及睡眠障碍因子分、HAMA总分及各因子分及CGI评分组间主效应均存在统计学意义。结论抗抑郁药物治疗及抗抑郁药物合并团体心理治疗均能有效改善抑郁症状,合并组改善更明显。Objective To study the effect of group psychotherapy on the efficacy of patients with depression. Methods A total of 82 inpatients who had met ICD-10 diagnostic criteria for depression were randomly divided into study group （ 42 ） and control group （ 40 ） for an 24 week observation. The study group received group psychotherapy combined medication, while the control group was only treated with medication. HAMD, HAMA and CGI were ad- opted for the evaluation before and after treatment. Results After 24 weeks＇ treatment, the total scores of HAMD, HAMA and CGI of two groups were obviously decreased, but the score of the study group decreased more significantly than that of the control group （ P 〈 0.05 ）. Conclusion Group psychotherapy can be effective in improving the depression symptoms.

关 键 词：团体心理治疗 抑郁症 临床疗效 

分 类 号：R749.05[医药卫生—神经病学与精神病学]