网络结构式团体认知行为治疗对轻症抑郁患者的特质应对方式和情感气质特征的影响  

The trait coping styles and affective temperament improvement through Internet-based group cognitive behavioral therapy for patients with minor depression,mild depressive disorder and dysthymia

作　　者：王宇[1] 畅林亚 丁菲 卢静芳 葛方梅 李静茹 宋蕊[2] 叶尘宇[3] 卢卫红 薛莉莉 王琰[1] 朱益 陶桦 周慧鸣 方贻儒[1] 苑成梅[1] WANG Yu;CHANG Lin-ya;DING Fei;LU Jing-fang;GE Fang-mei;LI Jing-ru;SONG Rui;YE Chen-yu;LU Wei-hong;XUE Li-li;WANG Yan;ZHU Yi;TAO Hua;ZHOU Hui-ming;FANG Yi-ru;YUAN Cheng-mei(Shanghai Jiaotong University School of Medicine,Shanghai Mental Health Center,Shanghai 200030,China)

机构地区：[1]上海交通大学医学院附属精神卫生中心,200030 [2]上海市虹口区精神卫生中心 [3]复旦大学附属中山医院 [4]上海市长宁区精神卫生中心

出　　处：《临床精神医学杂志》2021年第4期275-278,共4页Journal of Clinical Psychiatry

基　　金：上海市申康发展中心“适宜技术联合开发推广应用”项目(SHDC12016205);上海市精神卫生中心睡眠障碍特色学科(2017 TSXK 02);上海市卫生健康系统重要薄弱学科(心身医学,2019ZB0201);上海市申康发展中心重大临床研究项目-青年项目(SHDC2020CR4074);上海市科委科技创新行动计划(20Y11906600);上海市卫生与计划生育委员会青年项目(20174Y0135)。

摘　　要：目的:探讨网络结构式团体认知行为治疗对轻症抑郁患者的特质应对方式、情感气质特征上的影响。方法:采用随机对照设计,符合入组条件的轻症抑郁患者被分成线上组和线下组,并进行手册式团体认知行为治疗3个月,采用特质应对方式问卷、情感气质自评量表简版在基线、治疗结束(12周末)和随访期(24周末)对患者进行评估。结果:共筛查256名被试,纳入119例轻症抑郁患者。线上组73例,线下组46例。各时间点评估结果显示,在特质应对方式,情感气质特征方面,线上组和线下组组内差异均无统计学意义。其中积极应对方式、循环气质、焦虑气质在不同时间的主效应显著且交互作用显著(P<0.05或P<0.01)。结论:网络结构式团体认知行为治疗对轻症抑郁患者的特质应对方式、情感气质特征与面对面的团体认知行为治疗效果差异无统计学意义,能够对轻症抑郁患者一些心理层面的改变起到一定作用。Objective:To evaluate the psychological impact(trait coping styles and affective temperament)of patients with mild depressive disorder,minor depression and dysthymia after attending internet-based group cognitive behavioral therapy.Method:In this randomized controlled trial,patients were divided into online group and face-to-face group by random number and were assessed at baseline,the end of the therapy(12 weeks)and three months follow-up(24 weeks)by Hamilton Depression Scale(HAMD-17),Hamilton Anxiety Scale(HAMA),Trait Coping Styles Questionnaire(TCSQ)and Temperament Evaluation of Memphis,Pisa,Paris and San Diego-auto questionnaire version(TEMPS-A).Results:256 participants were recruited and 119 patients with minor depression,mild depressive disorder and dysthymia attended the therapy.73 of them were in online group and 46 of them were in face-to-face group.There were no significant difference between two groups in the improvement of trait coping styles and affective temperament.Furthermore,there were significant difference of main time effect and interaction in positive coping style,cyclothymia and anxious temperaments(P<0.05 or P<0.01).Conclusion:The psychological improvement for patients with mild depressive disorder,minor depression and dysthymia equals face-to-face therapy on trait coping styles and affective temperament.

关 键 词：轻度抑郁症 轻性抑郁障碍 恶劣心境 团体认知行为治疗 特质应对方式 情感气质特征 

分 类 号：R749.4[医药卫生—神经病学与精神病学]