认知行为治疗合并抗抑郁药对抑郁症残留症状的影响  

The effects of cognitive behavioral therapy combined with antidepressants on residual symptoms of patients with residual symptoms of depression

作　　者：杨燕 叶姜兰 谢育花 YANG Yan;YE Jianglan;XIE Yuhua(Mental Health Center of Heyuan City,Guangdong,Heyuan 517000,China)

机构地区：[1]广东省河源市精神卫生中心(广东省河源市第二人民医院),517000 [2]广东省河源市源城区精神卫生防治所

出　　处：《河北医药》2019年第15期2250-2253,2258,共5页Hebei Medical Journal

基　　金：广东省河源市社会发展科技计划项目(编号:2014-45)

摘　　要：目的研究认知行为治疗与抗抑郁药物联合应用于抑郁症残留症状患者中的临床效果,以为抑郁症残留症状的临床治疗提供借鉴。方法选取2013年7月至2017年6月收治的治疗后有相关抑郁症残留症状的患者94例,根据随机数表法患者分成2组。参照组给予抗抑郁药物治疗,研究组在参照组治疗基础上,给予认知行为治疗,治疗24周后,对比2组患者治疗前后的抑郁因子评分、焦虑因子评分及睡眠障碍因子评分,对比2组患者治疗前后TCSQ量表各维度评分,自动思维问卷(ATQ)评分及治疗有效率。结果治疗前,2组患者的抑郁因子评分、焦虑因子评分及睡眠障碍因子评分比较差异均无统计学意义(P>0.05)。治疗后,2组患者各项因子评分较治疗前均明显下降,且研究组明显优于参照组(P<0.05)。治疗前,2组患者TCSQ量表的积极应对维度评分、消极应对维度评分比较差异均无统计学意义(P>0.05);治疗后,2组患者TCSQ量表的积极应对维度评分明显提高,消极应对维度评分明显下降,且研究组明显优于参照组(P<0.05)。治疗前,2组患者ATQ评分比较差异无统计学意义(P>0.05);治疗后,2组患者ATQ评分均明显下降,且研究组较参照组评分下降幅度更明显(P<0.05)。研究组治疗总有效率为78.72%,参照组治疗总有效率为61.70%,研究组显著高于参照组(P<0.05)。结论给予抑郁症残留症状患者认知行为治疗联合抗抑郁药物治疗,能有效改善相关症状,是理想的治疗方案,值得推广。Objective To investigate the clinical curative effects of cognitive behavioral therapy(CBT)combined with antidepressants on residual symptoms of patients with residual symptoms of depression,so as to provide references for thetreatment of the disease.Methods A total of 94 patients with residual symptoms of depression who were treated in our hospital from July 2013 to June 2017 were enrolled in the study,who were divided into control group and research group according to random digital table.The patients in control group were treated by antidepressant drugs,however,the patients in research group,on the basis of control group,were treated by CBT.After 24-week treatment the depression factor score,anxiety factor score and sleep disorder factor score were observed and compared between the two groups,moreover,the TCSQ scale scores,automatic thinking questionnaire(ATQ)score and treatment efficiency were observed and compared between the two groups.Results Before treatment,there were no significant differences in depression factor scores,anxiety factor scores and sleep disorder factor scores between the two groups(P>0.05).After treatment,the scores of these factors were significantly decreased in both groups,moreover,which in research group were superior to those in control group(P<0.05).Before treatment there were no significant differences in positive coping dimension scores and negative coping dimension scores between the two groups(P>0.05).After treatment,the scores of positive coping dimension and negative coping dimension of TCSQ rating scales scale were significantly decreased in both groups,moreover,which in research group were superior to those in control group(P<0.05).Before treatment,there were no significant differences in ATQ scores between the two groups(P>0.05).After treatment,the ATQ scores were significantly decreased in both groups,moreover,the decrease degree in research group was more significant than that in control group(P<0.05).In addition the total effective rate in research group was 78.72%,whic

关 键 词：认知行为治疗 抑郁症残留症状 HAMD量表 TACQ量表 

分 类 号：R749.4[医药卫生—神经病学与精神病学]