基于PERMA模式短程正念认知团体心理干预对癫痫合并抑郁患者的应用效果  

Application efficacy of psychological intervention of short-range mindfulness-based cognitive therapy group based on PERMA model on epileptic patients with depression

作　　者：陈沙沙 王凌云[1] 李晓晖[1] CHEN Shasha;WANG Lingyun;LI Xiaohui(Department of Neurology,the First Affiliated Hospital of Henan University,Kaifeng(475200),Henan,China)

机构地区：[1]河南大学第一附属医院神经内科,河南开封475200

出　　处：《癫痫与神经电生理学杂志》2025年第1期4-10,共7页Journal of Epileptology and Electroneurophysiology

基　　金：河南省科技发展计划(242102310190)。

摘　　要：目的分析基于PERMA模式短程正念认知团体心理干预对癫痫合并抑郁患者的应用效果。方法收集2022年6月至2024年6月河南大学第一附属医院神经内科收治的84例癫痫合并抑郁患者,随机分为对照组和研究组,各42例。对照组接受常规心理干预,研究组采用PERMA模式短程正念认知团体心理干预。对比两组癫痫患者的负性情绪、正念水平、认知功能、归因方式问卷(ASQ)评分、生活质量和满意度。结果经干预后,研究组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(P<0.05);五因素正念度量表(FFMQ)评分、神经心理状态评定量表(RBANS)评分及正性事件归因高于对照组(P<0.05);负性事件归因低于对照组(P<0.05);研究组患者的情绪变化、药物效果、精力与疲劳感、疾病发作担忧、认知功能、社会功能及生活满意度均高于对照组(P<0.05);研究组癫痫患者对干预的满意度高于对照组。结论基于PERMA模式短程正念认知团体心理干预对癫痫合并抑郁患者具有显著的疗效,能改善患者的负性情绪,提高其正念水平、认知功能和生活质量,值得临床推广应用。Objective To analyze the application efficacy of psychological intervention of short-range mindfulness-based cognitive therapy(MBCT)group based on PERMA model on epileptic patients with depression.Methods A total of 84 epileptic patients with depression admitted to the Department of Neurology,the First Affiliated Hospital of Henan University from June 2022 to June 2024 were randomly divided into control and study groups,with 42 cases in each group.Control group received routine psychological intervention,and the study group received psychological intervention of short-range mindfulness cognitive therapy(MBCT)group based on PERMA model.Two groups of epileptic patients were compared for negative emotion,mindfulness level,cognitive function,Attribution Style questionnaire(ASQ)score,quality of life and satisfaction.Results After intervention,the scores of self-rating anxiety scale(SAS)and self-rating Depression scale(SDS)were lower in study group than those in control group(P<0.05).Five-factor Mindfulness Questionnaire(FFMQ)score,Repeatable Battery for the Assessment of Neuropsychological Status(RBANS)score and the attribution of positive events were higher in study group than that in control group(P<0.05).The attribution of negative events was lower than that of control group(P<0.05).Emotional changes,drug efficacy,energy and fatigue,disease onset concerns,cognitive function,social function and life satisfaction were higher in study group than those in control group(P<0.05).The satisfaction of epileptic patients for the intervention was higher in study group than that in control group.Conclusion Psychological intervention of short-range mindfulness-based cognitive group based on PERMA model has a significant therapeutic effect on epileptic patients with depression,improves their negative emotions,enhances their mindfulness level,cognitive function and quality of life.It is worthy of promotion and application in clinical practice.

关 键 词：癫痫 抑郁 PERMA模式 短程正念认知团体心理干预 应用效果 

分 类 号：R742.1[医药卫生—神经病学与精神病学] R749[医药卫生—临床医学]