认知行为干预联合康复治疗对抑郁症患者心理状况及生活质量的影响  

Effect of cognitive behavioral intervention combined with rehabilitation therapy on psychological status and quality of life of patients with depression

作　　者：罗红霞 罗凯 张艳华 Luo Hongxia;Luo Kai;Zhang Yanhua(Zhumadian Second People's Hospital,Zhumadian 463000,Henan,China)

机构地区：[1]驻马店市第二人民医院,河南驻马店463000

出　　处：《临床心身疾病杂志》2021年第2期60-64,共5页Journal of Clinical Psychosomatic Diseases

基　　金：国家卫生行业科研专项课题(编号201002003)。

摘　　要：目的探讨认知行为干预联合康复治疗对抑郁症患者心理状况及生活质量的影响。方法将78例抑郁症患者按随机数字表法分为两组,每组39例。对照组予以常规干预,观察组在对照组基础上予以认知行为干预联合康复治疗,观察4周。比较干预前后两组汉密顿抑郁量表、抑郁自评量表、症状自评量表、自杀态度问卷、应对方式问卷、世界卫生组织生存质量测定简表评分情况。结果干预后观察组汉密顿抑郁量表、抑郁自评量表、症状自评量表评分显著低于对照组(P<0.01),应对方式问卷各分量表评分均显著优于对照组(P<0.01),自杀态度问卷各维度评分及世界卫生组织生存质量测定简表总分均显著高于对照组(P<0.01)。结论认知行为干预联合康复治疗抑郁症疗效显著,可有效改善患者心理健康状况及应对方式,提高其生活质量。Objective To explore effect of cognitive behavioral intervention combined with rehabilitation therapy on psychological status and quality of life of patients with depression.Methods A total of 78 patients with depression were randomly divided into two groups,39 cases in each group.The control group was given routine intervention,and the observation group was given cognitive behavior intervention combined with rehabilitation treatment on the basis of the control group for 4 weeks.The scores of Hamilton depression scale(HAMD),self-rating depression scale(SDS),symptom checklist 90(SCL-90),questionnaire of suicide attitude(QSA),coping style questionnaire(CSQ)and world health organization quality of life questionnaire abbreviated version(WHOQOL-BREF)were compared between the two groups before and after the intervention.Results After intervention,the scores of HAMD,SDS and SCL-90 of the observation group were significantly lower than those of the control group(P<0.01),the subscale scores of CSQ were significantly better than those of the control group(P<0.01),the dimension scores of QSA and the total score of WHOQOL-BREF were significantly higher than those of the control group(P<0.01).Conclusions Cognitive behavioral intervention combined with rehabilitation has a good effect in the treatment of depression,which can effectively improve patients'mental health and coping styles,and improve their quality of life.

关 键 词：抑郁症 认知行为干预 生物反馈训练 心理状态 应对方式 生活质量 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R473.74[医药卫生—临床医学]