联合认知行为疗法在复发性抑郁障碍治疗中的应用效果  被引量:4

Application effect of cognitive behavioral therapy in the treatment of recurrent depression

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作  者:苏金哥 刘晓梅[1] 姜海军 李萃轶 SU Jin'ge;LIU Xiaomei;JIANG Haijun;LI Cuiyi(Psychiatric Department,Huizhou Second People's Hospital,Gu angdong,Huizhou 516100,China;Psychiatric Department,Huizhou Veterans Hospital,Guangdong,Huizhou 516100,China)

机构地区:[1]广东省惠州市第二人民医院精神科,广东惠州516100 [2]广东省惠州市复员退伍军人医院精神科,广东惠州516100

出  处:《中国医药科学》2021年第7期234-236,共3页China Medicine And Pharmacy

基  金:广东省惠州市医疗卫生类科技计划项目(2019Y106)。

摘  要:目的分析联合认知行为(CBT)治疗对复发性抑郁患者的临床疗效以及生活质量影响。方法选取2019年6月至2020年6月广东省惠州市第二人民医院接收治疗的78例复发性抑郁障碍患者作为研究对象,随机分为观察组和对照组,每组各39例。对照组采用常规抗抑郁症药物治疗,观察组患者在药物治疗的基础上联合CBT。比较分析两组患者在治疗2、4、8周后的汉密尔顿抑郁量表(HAMD-24)、生活质量综合评定问卷(GQOL-74)评分,治疗8周后治疗时出现的症状量表(TESS)、总体印象评定表(CGI)。结果观察组患者治疗2、4、8周后的HAMD-24评分低于对照组,GQOL-74评分高于对照组,差异有统计学意义(P<0.05)。观察组患者8周后TESS评分高于对照组,CGI评分高于对照组,差异有统计学意义(P<0.05)。结论对复发性抑郁障碍患者采用CBT治疗将更有利于改善患者生活质量,提高抑郁障碍患者临床疗效,值得临床广泛应用。Objective To analyze the clinical efficacy of cognitive behavioral therapy(CBT)on patients with recurrent depression(RD)and its impact on quality of life of RD patients.Methods A total of 78 RD patients treated in Huizhou Second People's Hospital from June 2019 to June 2020 were selected as the research objects.They were randomly divided into the observation group(n=36)and the control group(n=36).Control group was treated with conventional antidepressant drugs,observation group patients were conbined with CBT on the basis of drug treatment.The hamilton depression scale(HAMD-24)and quality of life comprehensive assessment questionnaire(GQOL-74)scores of the two groups after 2,4 and 8 weeks of treatment were compared and analyzed,the symptom scale(TESS)and the overall impression assessment scale(CGI)appeared after 8 weeks of treatment were compared and analyzed.Results After 2,4 and 8 weeks of treatment,the scores of HAMD-24 in the observation group were significantly lower than that in the control group,and the GQOL-74 score was significantly higher than that in the control group,the difference was statistically significant(P<0.05).The TESS score of the observation group was higher than that of the control group after 8 weeks,and the CGI score was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion CBT is conducive to improving the quality of life and the clinical efficacy of RD patients,which is worthy of wide clinical application.

关 键 词:认知行为治疗 复发性抑郁 汉密尔顿抑郁量表 治疗时出现的症状量表 总体印象评定表 生活质量综合评定问卷 

分 类 号:R856.74[医药卫生—航空、航天与航海医学]

 

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