支持性心理治疗对复发老年抑郁症患者抑郁症状及生活质量的影响效果分析  

Effect analysis of supportive psychotherapy on depressive symptoms and quality of life in patients with recurrent geriatric depression

作　　者：周瑞兰[1] ZHOU Rui-lan(Psychological Test Room,Tai＇ an Psychosis Hospital,Tai＇ an 271000,China)

机构地区：[1]山东省泰安市精神病医院心理测验室,271000

出　　处：《中国实用医药》2018年第23期140-142,共3页China Practical Medicine

摘　　要：目的研究分析支持性心理治疗对复发老年抑郁症患者抑郁症状及生活质量的影响效果。方法 72例复发老年抑郁症患者作为研究对象,随机为对照组和观察组,各36例。所有患者均接受常规的抗抑郁治疗,对照组患者接受常规心理疏导,观察组患者接受支持性心理治疗,观察比较两组患者的抑郁症状以及生活质量。结果两组患者治疗前老年抑郁量表(GDS)评分比较差异无统计学意义(P>0.05)。治疗4、8周后,两组GDS评分均较本组治疗前明显下降,且观察组GDS评分明显低于对照组,差异有统计学意义(P<0.05)。观察组患者治疗后心理评分、生理评分、社会评分、环境评分分别为(67.23±11.03)、(50.14±6.78)、(38.59±5.24)、(89.67±1.35)分,均明显高于对照组的(61.24±10.24)、(44.69±5.81)、(35.14±5.07)、(86.24±1.02)分,差异具有统计学意义(P<0.05)。结论支持性心理治疗能够有效改善复发老年抑郁症患者的抑郁症状,能够有效提升患者生活质量,值得临床推广应用。Objective To study and analyze the effect of supportive psychotherapy on the depressive symptoms and the quality of life in patients with recurrent geriatric depression. Methods A total of 72 elderly patients with recurrent geriatric depression were selected as research objects, they were randomly divided into control group and observation group, 36 cases in each group. All patients received conventional antidepressant treatment. Patients in the control group received conventional psychological counseling, patients in the observation group received supportive psychotherapy treatment. The depressive symptoms and quality of life between the two groups were observed and compared. Results There was no significant difference in the geriatric depression scale（GDS） between the two groups before treatment（P〈0.05）. After 4 and 8 weeks of treatment, the GDS scores of the two groups were significantly lower than those before treatment, and the GDS score of the observation group was significantly lower than that of the control group, the differences were statistically significant（P〈0.05）. The psychological score, physiological score, social score and environmental score of the observation group were（67.23±11.03） scores,（50.14±6.78） scores,（38.59±5.24） scores and（89.67±1.35） scores respectively, which were significantly higher than（61.24±10.24） scores,（44.69±5.81） scores,（35.14±5.07） scores and（86.24± 1.02） scores of the control group, the differences were statistically significant（P〈0.05）. Conclusion Supportive psychotherapy can effectively improve the depressive symptoms of patients with recurrent geriatric depression, and improve the quality of life of the patients effectively, it is worthy of clinical promotion and application.

关 键 词：支持性心理治疗 复发老年抑郁症 抑郁症状 生活质量 

分 类 号：R749.4[医药卫生—神经病学与精神病学]