生命意义感对抑郁障碍患者自杀意念的影响  

Effect of sense of life therapy on quality of life in patients with depressive disorder

作　　者：徐良雄[1,2] 石聿树 熊昌娥 刘祖松[1] 黄翠萍[1] 曾德志[1] 孟素华[1] XU Liang-xiong;SHI Yu-shu;XIONG Chang-e;LIU Zu-song;HUANG Cui-ping;ZENG De-zhi;MENG Su-hua(Department of Psychiatry,the Second Affiliated Hospital of Hubei University of Science and Technology,Xianning 437100,Hubei,CHINA;Xianning Guizhen Judicial Expertise,Xianning 437199,Hubei,CHINA)

机构地区：[1]湖北科技学院附属第二医院(临床医学院)精神科,湖北咸宁437100 [2]咸宁归真司法鉴定中心,湖北咸宁437199

出　　处：《海南医学》2019年第21期2733-2736,共4页Hainan Medical Journal

基　　金：国家自然科学基金(编号:71503075);湖北省卫生计生委科研项目(编号:WJ2017F114);湖北科技学院科研项目(编号:2016-18X036、LCZX201508)

摘　　要：目的评估生命意义感对抑郁障碍患者自杀意念的影响。方法将2018年1月至2019年1月在湖北科技学院附属第二医院住院治疗的60例抑郁障碍患者,按照随机数表法分对照组和观察组,每组30例。对照组患者采用药物治疗,观察组患者在药物治疗同时进行生命意义感等心理康复干预,时间为12周。干预后分别采用汉密尔顿抑郁量表(HAMD-17)、生命意义量表(MLQ)、Beck自杀意念量表中文版(BSI-CV)对两组患者的精神状态、生命意义感水平及自杀意念水平进行评定并做统计学分析。结果干预后,观察组患者的HAMD-17评分为(10.65±1.15)分,明显低于对照组的(22.36±2.56)分,差异有统计学意义(P<0.05);MLM各个项目中,观察组患者的存在意义感维度评分、寻求意义感维度评分、生活感受维度评分、生活目标维度评分、生活态度维度评分、自主感维度评分均明显高于对照组,差异均有统计学意义(P<0.05);BSI-CV各个项目中,观察组患者的主动自杀意愿评分、具体自杀计划评分、被动自杀意愿评分和总评分明显低于对照组,差异均有统计学意义(P<0.05)。结论生命意义感干预能够很好促进患者管理自己情绪,改善家庭与自杀意念,显著降低自杀意念、提升患者积极情绪和自杀意念,回归社会。Objective To explore the effect of sense of life therapy on the quality of life in patients with depression.Methods From January 2018 to January 2019,60 patients with depression hospitalized in the Second Affiliated Hospital of Hubei University of Science and Technology.They were divided into two groups according to random number table method,with 30 cases in each group.The control group was treated with medication,while the study group was treated with psychological rehabilitation intervention such as sense of life,for 12 weeks.Hamilton Depression Scale(HAMD-17),Life Meaning,Scale(MLM),and Beck Suicide Ideation Scale(BSI-CV)were used to evaluate the mental status,life meaning,and suicide ideation of the two groups.Results After 12 weeks of life meaning intervention,the HAMD-17 score of the study group was 10.65±1.15,which was significantly lower than 22.36±2.56 of the control group,with significant difference(P<0.05).Among the items of MLM,the study group scored on the dimensions of sense of existence,sense of seeking,and sense of life.The scores of life goal dimension,life attitude dimension and autonomy dimension were significantly higher than those of the control group(P<0.05).The scores of active suicide intention,specific suicide plan,passive suicide intention and total score of BSI-CV in the study group were significantly lower than those of the control group(P<0.05).Conclusion Meaning of life intervention can promote patients to manage their own emotions,improve family and social functions,significantly reduce the recurrence rate,improve patients’positive emotions and quality of life,and help the patients return to society.

关 键 词：抑郁障碍 情绪管理 生命意义感 自杀意念 回归社会 

分 类 号：R749.4[医药卫生—神经病学与精神病学]