人际心理治疗对抑郁障碍患者社会功能的影响  

Effect of interpersonal psychotherapy on social function of patients with depression

作　　者：徐良雄[1] 石聿树 熊昌娥[1] 刘祖松[1] 黄翠萍[1] 曾德志[1] 孟素华 孙晓璐 XU Liangxiong;SHI Yushu;XIONG Chang'e(The Second Affiliated Hospital of Hubei Institute of Technology,Xianning 437100,China)

机构地区：[1]中国.湖北科技学院附属第二医院(临床医学院),湖北咸宁437100 [2]咸宁归真司法鉴定中心 [3]咸宁实验外国语学校

出　　处：《中国健康心理学杂志》2020年第5期641-644,共4页China Journal of Health Psychology

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);湖北科技学院科研项目(编号:LCZX201508)。

摘　　要：目的:评估人际心理治疗对抑郁障碍患者社会功能影响。方法:将60例抑郁障碍患者按照随机数字表法分两组,对照组进行药物治疗,研究组在药物治疗同时进行人际心理治疗等心理康复干预。分别用汉密尔顿抑郁量表(HAMD-17)、社会功能缺陷筛选量表(SDSS)、社会支持评定量表(SSRS)、对干预后两组患者精神状态、社会功能缺陷及社会支持水平进行评定和比较。结果:为期16周人际心理治疗干预后,研究组HAMD-17评分明显低于对照组(t=-5.482,P<0.05),研究组SSRS客观支持维度评分高于对照组(t=6.648,P<0.05);主观支持维度评分高于对照组(t=6.691,P<0.05);支持利用维度评分高于对照组(t=3.480,P<0.05),差异有统计学意义;研究组SDSS缺失总分及各因子分维度评分低于对照组;差异有统计学意义(t=-9.150^-16.338,P<0.05)。结论:人际心理治疗干预能够很好提高患者社会支持水平,改善家庭与社会功能,让患者更好融入社会,缓解症状,预防复发。Objective:To evaluate the effect of interpersonal psychotherapy on social function of patients with depression.Methods:Sixty patients with depression were divided into two groups according to the random number table method.The control group was treated with drugs,while the research group was treated with interpersonal psychological therapy and other psychological rehabilitation interventions.Hamilton Depression Scale(HAMD-17),Social Deficiency Screening Scale(SDSS)and Social Support Rating Scale(SSRS)were used to evaluate and compare the mental status,social function deficits and social support levels of the two groups after intervention.Results:After 16 weeks of interpersonal psychotherapy intervention,the HAMD-17 score of the study group was significantly lower than that of the control group(t=-5.482,P<0.05).The objective support dimension score of the study group was higher than that of the control group(t=6.648,P<0.05),and the subjective support dimension score was higher than that of the control group(t=6.691,P<0.05);The score of support utilization dimension was higher than that of the control group(t=3.480,P<0.05);The total score of SDSS deficiency and the score of each factor dimension in the study group were lower than that of the control group(t=-9.150^-16.338,P<0.05).Conclusion:Interpersonal psychotherapy intervention can improve patients’social support level,family and social functions,integrate patients into society better,alleviate symptoms and prevent recurrence.

关 键 词：抑郁障碍 人际心理治疗 社会功能 回归社会 

分 类 号：R749.05[医药卫生—神经病学与精神病学]