改良型正念认知疗法联合放松训练对产后抑郁患者自我效能与抑郁状态的影响  

Effect of Modified Mindfulness Cognitive Therapy Combined with Relaxation Training on Self Efficacy and Depression Status of Postpartum Depression Patients

作　　者：石乔[1] 代娟[1] 冯冬梅[1] SHI Qiao;DAI Juan;FENG Dongmei(Zhongshan People’s Hospital,Zhongshan 528400,Chin)

机构地区：[1]广东省中山市人民医院,广东中山528400

出　　处：《中国医学创新》2018年第15期100-102,共3页Medical Innovation of China

基　　金：中山市医学科研项目(2018A020180)

摘　　要：目的:研究改良型正念认知疗法联合放松训练对产后抑郁患者自我效能与抑郁状态的影响。方法:选取2016年5月-2017年11月于本院就诊的98例产后抑郁患者为研究对象,按照随机数字表法将其分为研究组和对照组,各49例。对照组采取8周的常规心理指导,研究组采取8周的改良型正念认知疗法联合放松训练。以焦虑自评量表(SAS)和抑郁自评量表(SDS)、一般自我效能感量表(GSES)的评分评价两组患者的干预效果。结果:两组治疗2、8周末的SAS评分与SDS评分均明显低于治疗前,且治疗8周末评分均明显低于治疗2周末,差异均有统计学意义(P<0.05)。两组治疗2、8周末的GSES评分均明显高于治疗前,且治疗8周末评分均明显高于治疗2周末,差异均有统计学意义(P<0.05)。研究组治疗2、8周末的GSES评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论:改良型正念认知疗法联合放松训练对产后抑郁患者有良好干预效果,起到了改善患者心理健康状态,提高患者自我效能水平的作用。Objective：To study the effect of modified mindfulness cognitive therapy combined with relaxation training on self efficacy and depression status of postpartum depression patients.Method：A total of 98 patients with postpartum depression from May 2016 to November 2017 in our hospital were selected as the study objects.According to the random number table method,they were divided into study group and control group,49 cases in each group.The control group was treated with routine psychological guidance for 8 weeks,the study group was treated with modified mindfulness cognitive therapy combined with relaxation training for 8 weeks.The intervention effects of two groups were evaluated by the scores of self rating anxiety scale（SAS）,self rating depression scale（SDS） and general self-efficacy scale（GSES）.Result：The SAS scores and SDS scores of the two groups at the end of 2 and 8 weeks after treatment were significantly lower than those of before treatment,and the scores of the end of 8 weeks were lower than those of the end of 1 week（P〈0.05）.The GSES scores of the study group at the end of 2 and 8 weeks after treatment were significantly higher than those of before treatment,and the scores of the end of 8 weeks were higher than those of the end of 2 weeks（P〈0.05）.The scores of tleeent of 2,8 weeks in the study group were higher than those of the control group（P〈0.05）.Conclusion：Modified mindfulness cognitive therapy combined with relaxation training has a good intervention effect on postpartum depression patients,plays a role in improving mental health status and improving self-efficacy level of patients.

关 键 词：改良型正念认知疗法 放松训练 产后抑郁 

分 类 号：R749.4[医药卫生—神经病学与精神病学]