基于家庭的人际心理疗法对伴有躯体化症状的抑郁症患者症状消除程度的影响  

Effect of family-based interpersonal psychotherapy on symptom resolution in depressed patients with somatization symptoms

作　　者：吕立召[1] 王巍[1] 张改芬[1] 赵向华 武倩倩[1] 王朝敏[1] LV Lizhao;WANG Wei;ZHANG Gaifen(Department of Mental Health,The First Hospital of Hebei Medical University,Hebei,Shijiazhuang 050031,China)

机构地区：[1]河北医科大学第一医院精神卫生科,石家庄市050031

出　　处：《河北医药》2023年第3期462-465,470,共5页Hebei Medical Journal

基　　金：河北省卫生健康委科研基金项目(编号:20170519)。

摘　　要：目的探讨基于家庭的人际心理疗法对合并躯体化症状的抑郁症患者抑郁症状、躯体化症状、生活质量的影响。方法按随机数字表法分将97例伴有躯体化症状的抑郁症患者为研究组和对照组,其中研究组49例,对照组48例。对照组患者给予常规护理干预措施,研究组患者在对照组基础上采用基于家庭的人际心理疗法的护理干预措施。分别采用汉密尔顿抑郁量表(HAMD)及焦虑量表(HAMA)、躯体形式症状筛查量表(SOMS-7)、SF-36生活调查量表评估干预效果。结果干预后研究组患者HAMD、HAMA评分均低于对照组,差异有统计学意义(P<0.05);干预后研究组患者躯体化症状平均个数、SOMS-7评分均低于对照组患者,差异有统计学意义(P<0.05);干预后研究组患者SF-36量表中的各维度评分均高于对照组患者,差异有统计学意义(P<0.05)。结论基于家庭的人际心理疗法可有效改善伴有躯体化症状的抑郁症患者抑郁及焦虑症状、缓解患者躯体化症状、提高患者生活质量,提高此类患者的护理质量。Objective To explore the effects of family-based interpersonal psychotherapy on depressive symptoms,somatic symptoms and quality-of-life in depression patients with somatic symptoms.Methods Tatolly 97 depression patients with somatic symptoms are randomly assinged to the study group(n=49)and the control group(n=48).Patients in the control group received the routine nursing interventions,while patients in the study group additionally received family-based interpersonal psychotherapy.Hamilton Depression Rating Scale(HAMD),Hamilton Anxiety Scale(HAMA),Screening for Somatoform(SOMS-7)and the 36-Item Short Form Health Survey(SF-36)were performed to evaluate the intervention effects.Results After the intervention,the scores of HAMD and HAMA in the study group were significantly lower than those in the control group(P<0.05).The average numbers of somatization symptoms,and SOMS-7 scores in the study group wer significantly lower than those in the control group(P<0.05).The SF-36 dimensions scores in the study group were significantly higher than those in the control group(P<0.05).Conclusion For depression patients with somatic symptoms,family-based interpersonal psychotherapy effectively supports relieving depression and anxiety symptoms,as well as somatic symptoms,thereby improving the quality-of-life and medicare.

关 键 词：抑郁症 躯体化症状 家庭 人际心理治疗 

分 类 号：R749.4[医药卫生—神经病学与精神病学]