心理治疗对改善产后抑郁发作患者人际关系的效果评价  

Effect evaluation of psychological therapy on improving interpersonal relationship in patients with postpartum depression attack

作　　者：邱大宏 叶百维 王文军[1] 冯燕[1] QIU Da-hong YE Bai-wei WANG Wen-jun FENG Yan(Department of Psychiatry,the Second People＇s Hospital of Huizhou City in Guangdong Province,Huizhou 516001,China)

机构地区：[1]广东省惠州市第二人民医院精神科,广东惠州516001

出　　处：《中国当代医药》2017年第22期48-50,53,共4页China Modern Medicine

摘　　要：目的探讨心理治疗对改善产后抑郁发作患者人际关系的效果。方法回顾性分析我院2010年1月~2015年12月收治入院的完成全程治疗及随访的产后抑郁发作100例患者的临床资料,按照干预方法不同分为两组,每组50例,两组均予以常规抗抑郁药物治疗及常规护理,观察组在此基础上予心理治疗。两组干预前,干预后3、6个月分别对两组进行爱丁堡产后抑郁量表(EPDS)、汉密尔顿抑郁量表(HAMD)、功能失调性态度问卷(DAS)及人际问题问卷(IIP)测试。结果干预后3、6个月,观察组的各量表总分均明显变化,且与治疗前比较差异有统计学意义(P<0.05)。干预后3、6个月,观察组患者的各量表总分与对照组比较差异有统计学意义(P<0.05或P<0.01)。结论心理治疗能够显著改善产后抑郁发作患者的人际关系状况和社会功能,且效果显著。Objective To explore the effect of psychological therapy on improving interpersonal relationship in postpartum depression patients.Methods Clinical data from 100 patients with postpartum depression attack treated and cooperated with follow-up visits in our hospital from January 2010 to December 2015 were retrospectively analyzed.According to different intervention methods,they were evenly divided into two groups.The conventional antidepressant drugs and routine nursing were provided in both groups.Besides,the psychological therapy was added in the observation group.The Edinburgh postpartum depression scale（EPDS）,Hamilton depression scale（HAMD）,dysfunctional attitude questionnaire（DAS）,and interpersonal problem questionnaire（IIP） were used to test for patients in two groups before intervention,and the end of 3-and 6-month after intervention.Results After 3-and 6-month interventions,the total score of each scale in the observation group was in great change and was displayed statistical difference compared with that before treatment（P〈0.05）.Compared with the control group after intervention,the total scores of these scales in the observation group were also in statistical difference（P〈0.05 or P〈0.01）.Conclusion Psychotherapy therapy can significantly improve the interpersonal relationship and social function of patients with postpartum depression attack and it has a remarkable effect.

关 键 词：产后抑郁发作 产妇 心理治疗 效果 

分 类 号：R714.46[医药卫生—妇产科学]