重复经颅磁刺激联合动力性团体心理治疗对青少年抑郁症患者的影响  

The effect of repetitive transcranial magnetic stimulation combined with dynamic group psychotherapy in adolescent patients with depression

作　　者：邱翠仙 郑雨竹 赵丽娜 QIU Cuixian;ZHENG Yuzhu;ZHAO Lina(Department of Psychology,Anning Hospital,Panzhou City,Liupanshui 561600,China)

机构地区：[1]盘州市安宁医院心理科,贵州川六盘水561600

出　　处：《心理月刊》2025年第4期134-136,共3页

摘　　要：目的探讨重复经颅磁刺激联合动力性团体心理治疗对青少年抑郁症(MDD)患者抑郁症状、自我意识及认知功能的影响。方法以随机数字表法将2022年8月~2024年3月盘州市安宁医院收治的96例MDD患者分为两组。对照组(n=48)予以常规治疗,观察组(n=48)在对照组基础上实施重复经颅磁刺激联合动力性团体心理治疗。对比两组抑郁症状、认知功能、自我意识、应对方式、生活质量。计数资料以x^(2)检验,正态计量资料以t检验。结果治疗后,观察组抑郁自评量表(SDS)评分、消极评分均低于对照组,蒙特利尔认知评估量表(MoCA)评分、自我意识量表(SCS)中各项评分、积极评分、健康状况调查问卷(SF-36)中各项评分均高于对照组,差异有统计学意义(P<0.05)。结论在MDD患者中应用重复经颅磁刺激联合动力性团体心理治疗效果显著,可促进患者抑郁症状改善,提升其认知功能和自我意识,有利于改变其应对方式,提高生活质量。Objective To explore the effect of repetitive transcranial magnetic stimulation combined with dynamic group psychotherapy on depressive symptoms,self-awareness,and cognitive function in adolescent patients with depression(MDD).Methods 96 MDD patients admitted to Anning Hospital in Panzhou City from August 2022 to March 2024 were randomly divided into two groups using a random number table method.The control group(n=48)received conventional treatment,while the observation group(n=48)received repetitive transcranial magnetic stimulation combined with dynamic group psychotherapy on the basis of the control group.Compare the symptoms of depression,cognitive function,selfawareness,coping strategies,and quality of life between two groups.The count data were analyzed by x^(2) test,and the normal measurement data were analyzed by t test.Results After treatment,the self-rating depression scale(SDS)score and negative score in the observation group were lower than those in the control group,while the scores in the Montreal cognitive assessment scale(MoCA),self-compassion scale(SCS),positive score,and the MOS item short form health survey(SF-36)were higher than those in the control group,with statistical differences(P<0.05).Conclusion The application of repetitive transcranial magnetic stimulation combined with dynamic group psychotherapy in MDD patients has significant effects,promoting the improvement of depressive symptoms,enhancing cognitive function and self-awareness,and helping to change their coping styles and improve their quality of life.

关 键 词：青少年抑郁症 重复经颅磁刺激 动力性团体心理治疗 自我意识 抑郁症状 认知功能 

分 类 号：R47[医药卫生—护理学]