焦点解决团体治疗改善抑郁障碍生存质量和自我效能感的随机单盲研究  

A Randomized Single Blind Study on the Improvement of Social Disability and Self-efficacy in Depressive Disorder by Solution Focused Group Therapy

作　　者：王维[1] 张婧 张勇辉[1] 段登艾 廖欣菊 王芳 宋精玲 WANG Wei;ZHANG Jing;ZHANG Yonghui;DUAN Dengai;LIAO Xinju;WANG Fang;SONG Jingling(Mental Disorder Recovery Zone 2,Yunnan Psychiatric Hospital,Kunming Yunnan 650224;Dept.of Pathology and Pathophysiology,School of Basic Medicine,Kunming Yunnan 650500,China;Electron Microscopy Lab,Kunming Medical University,Kunming Yunnan 650500,China)

机构地区：[1]云南省精神病医院精神康复二区,云南昆明650224 [2]昆明医科大学基础医学院病理学与病理生理学系,云南昆明650500 [3]昆明医科大学基础医学院电镜室,云南昆明650500

出　　处：《昆明医科大学学报》2022年第7期68-73,共6页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81260361);昆明市卫生健康委员会卫生科研课题项目(2020-21-01-001)。

摘　　要：目的焦点解决团体治疗(solution focused group therapy,SFGT)联合艾司西酞普兰治疗抑郁障碍的疗效评估。方法选取云南省精神病医院符合ICD-10抑郁障碍诊断标准的84例患者,随机分入联合42例和单一药物组42例,开展为期8周的治疗。采用精神病人生存质量问卷(social disability screening schedule,SDSS)和一般自我效能感量表(genera self-efficacy scale,GSES)进行效果评价,并使用SPSS22.0进行数据分析。结果8周治疗结束后,2组共脱落18例,其中联合治疗组共脱落8例。对照组脱落10例,2组在治疗前SDSS、GSES各分量表及总分均无差异,SDSS量表在治疗第4周、第8周量表总分及各分量表得分联合治疗均低于对照组,且具有统计学意义(P<0.05)。联合治疗组的GSES评分在干预第4周及第8周均高于对照组,且差异具有统计学意义(P<0.05)。结论焦点解决团体治疗(SFGT)联合艾司西酞普兰治疗抑郁障碍疗法比单一药物治疗疗效更好。Objective To focus on the difference between solution focused group therapy(SFGT)combined with Escitalopram and only use Escitalopram in the treatment of depression group,and evaluate the efficacy of focus resolution short-course group psychotherapy(SFGT)combined with Escitalopram in the treatment of depressive disorders.Methods Eithty-four patients who met the diagnostic criteria of ICD-10 depression in Yunnan Psychiatric Hospital were randomly divided into combined treatment group(42 patients)and simple drug group(42 patients).The period of this treatment was 8 weeks.A total of 84 patients who met the diagnostic criteria of ICD-10 depressive disorder in our hospital were randomly divided into combination therapy group and single drug group for 8 weeks of treatment.The effect was evaluated by Social Disability Screening Schedule(SDSS)and Genera Selfefficacy Scale(GSES),and SPSS22.0 was used for statistical analysis.Results After 8 weeks of treatment,18cases fell from the two groups,including 8 cases from the combined treatment group and 10 cases from the control group.There was no difference in the subscales and total scores of SDSS and GSES between the two groups before treatment.The total scores and subscales scores of SDSS were lower than those in the control group at the 4th and 8th weeks of treatment(P<0.05).Compared with the control group,the GSES scores of the combined treatment group were higher than those of the control group at the 4th and 8th week in the course of treatment,and the difference was statistically significant(P<0.05).Conclusions Solution focused group therapy(SFGT)combined with Escitalopram is better than drug therapy alone in the treatment of depression.Solution focused group therapy(SFGT)combined with Ecitalopram is more effective than monotherapy for depressive disorders.

关 键 词：抑郁障碍 焦点解决团体治疗 艾司西酞普兰 随机单盲对照试验 

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