优势认知行为治疗改善青少年抑郁症患者希望感的随机对照试验  

A randomized controlled study of strengtlis-based cognitive behavioral therapy on hope in adolescents witli depression

作　　者：贺方[1,2,3] 宋红静 张欣[1,2,3] 张丽丽 崔伟[1,2,3] 张香云 栗克清[1,2,3] HE Fang;SONG Hongjing;ZHANG Xin;ZHANG Li;CUI Wei;ZHANG Xiangyun;LI Keqing(Hebei Provincial Mental Health Center,Baoding 071000,Hebei Province,China;Hebei Key Laboratory of Major Mental and Be-havioral Disorders,Baoding 071000,Hebei Province,China;The Sixth Clinical Medical College of Hebei University,Baoding 071000,Hebei Province,China)

机构地区：[1]河北省精神卫生中心,河北保定071000 [2]河北省重大精神与行为障碍疾病研究重点实验室,河北保定071000 [3]河北大学第六临床医学院,河北保定071000

出　　处：《中国心理卫生杂志》2023年第9期758-763,共6页Chinese Mental Health Journal

基　　金：保定市科技计划项目——优势认知行为治疗对青少年抑郁症的疗效研究(1951ZF099)。

摘　　要：目的:探讨优势认知行为治疗(SBCBT)对青少年抑郁症患者希望感的干预效果。方法:选取符合ICD-10轻中度抑郁发作诊断标准的89例青少年抑郁症患者,随机分配至联合治疗组(n=44)与舍曲林组(n=45)。联合治疗组在舍曲林治疗基础上接受8次SBCBT干预。使用希望特质量表(ADHS)、汉密顿抑郁量表-17(HAMD-17)、汉密顿焦虑量表(HAMA)在基线及6周干预后评估。结果:6周干预后,两组的ADHS总分均高于基线(均P<0.001),HAMD-17、HAMA评分均低于基线(均P<0.001);联合治疗组ADHS总分高于舍曲林组,而HAMD-17、HAMA评分均低于舍曲林组(均P<0.001)。相关性分析表明,ADHS总分差值与HAMD-17差值、HAMA差值均呈正相关(r=0.46、0.29,P<0.001或P<0.01)。结论:优势认知行为治疗能够改善轻中度青少年抑郁症患者的抑郁情绪,提升其希望感。Objective:To explore the effect of strengths based cognitive behavioral therapy(SBCBT)model on hope in adolescents with depression.Methods:Totally 89 adolescents with depression meeting the diagnostic cri-teria for mild and moderate depressive episodes of the Intemational Statistical Classification of Diseases and Related Health Problems,Tenth Revision(ICD-10)were randomly divided into the combined treatment group(n=44)and the sertraline group(n=45).The combined treatment group received 8 times of SBCBT intervention on the basis of the sertraline group.The Adult Dispositional Hope Scale(ADHS),Hamilton Depression Scale-17(HAMD-17)and Hamilton Anxiety Scale(HAMA)were measured at base line and 6 weeks after intervention.Results:After 6-week intervention,the ADHS total scores in both groups were higher than the baseline(Ps<0.001),and the total scores of HAM D-17 and HAMA in both groups were lower than the baseline(Ps<0.001).The ADHS total scores were higher and the total scores of HAMD-17 and HAMA were lower in the combined treatment group than in the sertra-line group(Ps<0.001).Correlation analysis showed that the total score difference of ADHS was positively correla-ted with the total score difference of HAMD-17(r=0.46,P<0.001)and the total score difference of HAMA(r=0.29,P<0.01).Conclusion:It suggests that SBCBT is beneficial to improve depression,and enhance the hope of adolescent patients with depression.

关 键 词：优势认知行为治疗 青少年 抑郁 希望 

分 类 号：R749.41[医药卫生—神经病学与精神病学]