认知行为疗法在抑郁症患者康复阶段的应用研究  

Research on the application of cognitive behavioral therapy in the rehabilitation stage of patients with depression

作　　者：任毛荐 毛建华 武姗姗 REN Maojian;MAO Jianhua;WU Shanshan(Department of Psychiatry,Nanjing Lishui District Psychiatric Hospital(Nanjing Lishui District Third People's Hospital),Nanjing 211200,China;Internal Medicine,Nanjing Lishui District Psychiatric Hospital(Nanjing Lishui District Third People's Hospital),Nanjing 211200,China)

机构地区：[1]南京市澡水区精神病防治院(南京市溧水区第三人民医院)精神科,江苏南京211200 [2]南京市澡水区精神病防治院(南京市溧水区第三人民医院)内科,江苏南京211200

出　　处：《心理月刊》2025年第3期146-148,154,共4页

摘　　要：目的分析认知行为疗法在抑郁症患者康复阶段的应用效果。方法本研究对象为2023年5月~2024年5月本院精神科接受治疗的120例抑郁症患者。采用随机对照试验设计,将120例患者在数字表法下进行随机分组,治疗组(n=60)和对照组(n=60)。对照组采用常规药物治疗以及心理治疗方案;治疗组在对照组基础上接受认知行为疗法,分析抑郁症状评分、生活质量、认知功能、社会适应能力以及自杀意念等量表评分。结果治疗前,两组患者HAMD评分无显著差异(P>0.05);治疗后,治疗组HAMD评分显著低于对照组(P<0.05);治疗后,治疗组WHOQOL-BREF评分显著高于对照组(P<0.05);治疗后,治疗组MoCA评分显著高于对照组(t=13.052,P<0.05),SAFE评分显著低于对照组(P<0.05);治疗后,治疗组SIOSS各项评分均低于对照组(P<0.05)。结论认知行为疗法在抑郁症患者康复阶段具有显著的机制和价值,通过改变患者的认知和行为模式,能够有效改善抑郁症状,提高生活质量和社会功能。Objective To analyze the application effect of cognitive-behavioral therapy in the rehabilitation stage of patients with depression.Methods The subjects of this study were 120 patients with depression who received treatment in the psychiatric department of our hospital from May 2023to May 2024.Using a randomized controlled experimental design,120 patients were randomly divided into a treatment group(n=60)and a control group(n=60)using a numerical table method.The control group was treated with conventional medication and psychological therapy;The treatment group received cognitive-behavioral therapy on the basis of the control group,and the depression symptom score,quality of life,cognitive function,social adaptation ability,and suicidal ideation scale score were analyzed.Results Before treatment,there was no significant difference in HAMD scores between the two groups(P>0.05);post-treatment,the HAMD score was significantly lower in the treatment group than in the control group(P<0.05);post-treatment,the WHOQOL-BREF score was significantly higher in the treatment group than in the control group(P<0.05);post-treatment,the MoCA score was significantly higher in the treatment group than in the control group(P<0.05),SAFE score was significantly lower than the control group(P<0.05);post-treatment,all SIOSS scores in the treatment group were lower than those in the control group(P<0.05).Conclusion Cognitive behavioral therapy has significant mechanisms and values in the rehabilitation stage of patients with depression.By changing patients'cognitive and behavioral patterns,it can effectively improve depressive symptoms,enhance quality of life,and improve social function.

关 键 词：抑郁症 认知行为疗法 康复效果 

分 类 号：R47[医药卫生—护理学]