优势认知行为治疗对青少年抑郁的干预  

Intervention study of strengths-based cognitive behavioral therapy on adolescent depression

作　　者：贺方[1] 宋红静[1] 刘伟[1] 崔伟[1] 张欣[1] 张香云[1] 栗克清[1] HE Fang;SONG Hongjing;LIU Wei(Hebei Provincial Sixth People's Hospital,Baoding 071000,China)

机构地区：[1]河北省第六人民医院,保定071000

出　　处：《中国健康心理学杂志》2022年第11期1686-1692,共7页China Journal of Health Psychology

摘　　要：目的:探讨优势认知行为治疗模型对改善青少年抑郁、焦虑情绪的应用效果。方法:将2019年8月至2021年6月河北省某医院门诊就诊及住院的89名青少年抑郁症患者,随机分为研究组(44例)与对照组(45例)。对照组为单纯药物治疗组,研究组在药物治疗的基础上接受8次优势认知行为治疗,治疗周期为6周。在干预前、干预2周、4周及结束时,采用汉密尔顿抑郁量表-17(HAMD-17)、汉密尔顿焦虑量表(HAMA)对两组的抑郁、焦虑情绪进行评估。结果:治疗6周后,研究组抑郁评分明显低于治疗前(Z=-5.792,P<0.001)。对照组抑郁评分也明显低于治疗前(Z=-5.648,P<0.001)。研究组焦虑评分明显低于治疗前(Z=-5.767,P<0.001),对照组焦虑评分也显著低于治疗前(Z=-2.433,P<0.05)。在治疗2周、4周及结束时,研究组抑郁评分均明显低于对照组(P<0.001)。在治疗4周及结束时,研究组焦虑评分均明显低于对照组(P<0.001)。结论:优势认知行为治疗模型能够有效改善青少年抑郁症患者的抑郁、焦虑情绪。Objective:To explore the application effect of strengths-based cognitive behavioral therapy(SBCBT)model on adolescent depression and anxiety.Methods:From August 2019 to June 2021,a total of 89 adolescents admitted to Hebei Provincial Sixth People’s Hospital with depressive disorder were recruited.They were randomly divided into research group(n=44)and control group(n=45).The control group was given drug therapy alone,and the research group received 8 times of strengths-based cognitive behavioral therapy intervention on the basis of the control group,and the treatment period was 6 weeks.The results of the Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale-17(HAMD-17)were compared between the two groups.Assessments were administered at pre-intervention and at 2 weeks,4 weeks and at the end of intervention.Results:After 6 weeks of treatment,the HAMD score of the research group was significantly lower than that of preintervention(Z=-5.792,P<0.001).The HAMD score of the control group was also lower than that of preintervention(Z=-5.648,P<0.001).The HAMA score of the research group was significantly lower than that of preintervention(Z=-5.767,P<0.001).The HAMA score of the control group was also lower than that of preintervention(Z=-2.433,P<0.05).The HAMD score of the research group were significantly lower than those in the control group at 2 weeks,4 weeks and end of treatment(P<0.001).At 4 weeks and the end of treatment,the anxiety score of the research group was significantly lower than that of the control group(P<0.001).Conclusion:SBCBT model can effectively improve depression and anxiety of adolescents with depressive disorder.

关 键 词：抑郁 青少年 优势认知行为治疗 干预研究 

分 类 号：R749.055[医药卫生—神经病学与精神病学]