支持性心理治疗联合利伯曼康复技术对难治抑郁症患者认知功能的影响  

The impact of supportive psychotherapy combined with Liberman recovery techniques on cognitive function in patients with treatment-resistant depression

作　　者：徐智[1,2] 刘家欢 余美云 XU Zhi;LIU Jiahuan;YU Meiyun(Zhejiang Chinese Medical University,Hangzhou 310000,China;The Third Hospital of Quzhou,Quzhou 324000,China)

机构地区：[1]浙江中医药大学,浙江杭州310000 [2]衢州市第三医院,浙江衢州324000

出　　处：《心理月刊》2025年第4期137-139,共3页

基　　金：衢州市指导性科技攻关项目(2021107)。

摘　　要：目的分析支持性心理治疗联合利伯曼康复技术对难治性抑郁症患者的效果。方法选取衢州市第三医院2021年2月~2023年2月收治的78例难治性抑郁症患者,通过随机抽签法分为两组,各包含39例患者,对照组采用支持性心理治疗,观察组另外给予利伯曼康复技术治疗,比较两组精神状况、社会功能、认知功能。计数资料以x2检验,正态计量资料以t检验。结果干预前,两组精神状况指标比较,差异无统计学意义(P>0.05);干预后,观察组汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)水平较低(P<0.05)。干预前,两组社会功能指标比较,差异无统计学意义(P>0.05);干预后,观察组社会功能缺陷筛选量表(SDSS)评分、简明精神病评定量表(BPRS)评分低于对照组(P<0.05)。干预前,两组认知功能指标比较,差异无统计学意义(P>0.05);干预后,观察组蒙特利尔认知量表(MoCA)评分及连线测验TMT-A、TMT-B低于对照组(P<0.05)。结论支持性心理治疗联合利伯曼康复技术可改善难治性抑郁患者的认知功能和精神状态,增强患者的社会适应能力。Objective To analyze the effect of supportive psychotherapy combined with Lieberman rehabilitation technique on patients with treatment-resistant depression.Methods A total of 78 patients with treatment-resistant depression admitted to the Third Hospital of Quzhou from February 2021 to February 2023 were divided into two groups by random drawing method,each containing 39 patients.The control group received supportive psychological treatment,and the observation group was additionally given Liberman rehabilitation technology treatment.The mental status,social function and cognitive function of the two groups were compared.The count data were analyzed by x~2 test,and the normal measurement data were analyzed by t test.Results Before intervention,there was no significant difference in mental status between the two groups(P>0.05).After intervention,the levels of Hamilton depression scale(HAMD)and Hamilton anxiety scale(HAMA)were lower in the observation group(P<0.05).Before intervention,there was no statistically significant difference in social function indexes between the two groups(P>0.05).After intervention,the scores of social disability screening schedule(SDSS)and brief psychiatric rating scale(BPRS)in the observation group were lower than those in the control group(P<0.05).Before intervention,there was no statistically significant difference in cognitive function indexes between the two groups(P>0.05).After intervention,the scores of Montreal cognitive assessment(MoCA),trail making test TMT-A and TMT-B in observation group were lower than those in control group(P<0.05).Conclusion Supportive psychotherapy combined with Lieberman rehabilitation technique can improve the cognitive function and mental state of patients with refractory depression and enhance their social adaptability.

关 键 词：支持性心理治疗 利伯曼康复技术 难治性抑郁症 认知功能 

分 类 号：R47[医药卫生—护理学]