心理危机干预联合康复训练对重度抑郁症患者自杀意念及社会功能的影响  

Effects of Psychological Crisis Intervention Combined with Rehabilitation Training on Suicidal Ideation and Social Function in Patients with Major Depression

作　　者：李晓玲[1] 俞洋[1] 张杏莲[1] 梁嘉权 廖海容 LI Xiaoling;YU Yang;ZHANG Xinglian;LIANG Jiaquan;LIAO Hairong(The Third People’s Hospital of Foshan,Foshan 528000,China;不详)

机构地区：[1]广东省佛山市第三人民医院,广东佛山528000

出　　处：《中国医学创新》2021年第26期165-169,共5页Medical Innovation of China

基　　金：佛山市科技创新项目(2020001005608)。

摘　　要：目的:探讨心理危机干预联合康复训练对重度抑郁症患者自杀意念及社会功能的影响。方法:选取2019年3月-2020年3月本院收治的重度抑郁症患者100例。按随机分组法将患者分为观察组和对照组,每组50例。对照组患者给予常规抗抑郁药物治疗,观察组患者在抗抑郁药物治疗的基础上,给予心理危机干预联合康复训练,两组均干预8周。比较两组干预前后的自杀意念自评量表(SIOSS)评分、社会功能缺陷筛选量表(SDSS)评分及自我效能感量表(GESE)评分;干预结束后再随访6个月,比较两组患者的自杀求助情况及自杀死亡情况,同时采用核磁共振技术评估患者海马体体积变化。结果:干预8周后,两组SIOSS、SDSS评分均显著低于干预前,GESE评分均显著高于干预前,差异均有统计学意义(P<0.05);干预8周后,观察组SIOSS、SDSS评分均显著低于对照组,GESE评分显著高于对照组,差异均有统计学意义(P<0.05)。随访6个月后,观察组自杀求助率高于对照组,差异有统计学意义(P<0.05);观察组自杀死亡率低于对照组,但差异无统计学意义(P>0.05)。干预前后,两组海马体体积比较,差异均无统计学意义(P>0.05)。结论:心理危机干预联合康复训练可以有效提高重度抑郁患者自杀求助率,改善患者社会功能和自我效能感。Objective:To investigate the effects of psychological crisis intervention combined with rehabilitation training on suicidal ideation and social function in patients with major depression.Method:A total of 100 patients with major depression admitted to our hospital from March 2019 to March 2020 were selected.Patients were randomly divided into observation group and control group,50 cases in each group.The control group was given conventional antidepressant treatment,the observation group was given psychological crisis intervention combined with rehabilitation training on the basis of antidepressant treatment,both groups were treated for 8 weeks.The scores of self-rating idea of suicide scale(SIOSS),social function defect screening scale(SDSS)and general self-efficacy scale(GESE)were compared between the two groups before and after intervention.After the intervention,the patients were followed up for 6 months,suicide help seeking and suicide death of the two groups were recorded.At the same time,the changes of hippocampal volume were evaluated by MRI.Result:After 8 weeks of intervention,the SIOSS and SDSS scores of the two groups were significantly lower than those before the intervention,and the GESE scores were significantly higher than those before the intervention,the differences were statistically significant(P<0.05).After 8 weeks of intervention,the SIOSS and SDSS scores of the observation group were significantly lower than those of the control group,the GESE score was significantly higher than that of the control group,the differences were statistically significant(P<0.05).After 6 months of follow-up,the suicide help seeking rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The suicide mortality in the observation group was lower than that in the control group,but the difference was not statistically significant(P>0.05).Before and after intervention,comparison of hippocampal volume between the two groups,there were no significant dif

关 键 词：心理危机干预 康复训练 重度抑郁症患者 自杀意念 社会功能 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]