正念认知疗法结合药物治疗对青少年抑郁症患者心理状况及认知功能的作用分析  

Analysis of the effect of mindfulness cognitive therapy combined with drug therapy on psychological status and cognitive function of adolescent depression patients

作　　者：祁博 郑乾 杨世昌 QI Bo;ZHENG Qian;YANG Shichang(The Second Clinical College of Xinxiang Medical College(Clinical Center of Integrated Traditional Chinese and Western Medicine for Mental Diseases,Xinxiang Medical College),Zhumadian 453000,China;Department of Pediatric Psychology,The Second People's Hospital of Zhumadian,Zhumadian 463000,China)

机构地区：[1]新乡医学院第二临床学院(新乡医学院精神疾病中西医结合临床医学中心),河南驻马店453000 [2]驻马店市第二人民医院儿少心理科,河南驻马店463000

出　　处：《心理月刊》2025年第3期158-160,共3页

摘　　要：目的研究分析青少年抑郁症在药物治疗基础上联合正念认知疗法对其心理状况及认知功能的作用影响。方法本文将2022年5月~2024年5月诊治的90例青少年抑郁症患者开展分组性研究,按照随机数字表法进行分组,每组45例,参照组实施抗抑郁药物治疗,试验组实施正念认知疗法联合药物治疗,比较两组心理状况、认知功能、生活质量、睡眠质量以及临床疗效。正态计量资料采用t检验,计数资料采用x^(2)检验。结果治疗后,试验组HAMD-17量表以及SCL-90量表相关评分均比参照组更低,P<0.05;试验组RBANS量表中涉及注意力、言语功能、延迟记忆、即刻记忆、视觉广度方面的评分均比参照组更高,P<0.05;试验组SF-36量表评分高于参照组,PSQI评分低于参照组,P<0.05;试验组临床治疗总有效率优于参照组,P<0.05。结论针对青少年抑郁症患者实施正念认知疗法联合药物治疗能有效调节其心理状态,缓解负面情绪,可改善其认知功能,使其生活质量及睡眠质量有所提升,有助于提高整体疗效。Objective To study and analyze the effects of medication combined with mindfulness cognitive therapy on the psychological status and cognitive function of adolescents with depression.Methods In this paper,90 adolescent patients with depression diagnosed and treated from May 2022 to May 2024 were divided into groups according to random number table method,45 cases in each group.The reference group received antidepressant therapy,and the experimental group received mindfulness-based cognitive therapy combined with drug therapy.The psychological status,cognitive function,quality of life,quality of sleep and clinical efficacy of the two groups were compared.Normal measurement data were tested by t test,count data were tested by x^(2).Results After treatment,the related scores of HAMD-17 and SCL-90 in the experimental group were lower than those in the reference group,P<0.05;the experimental group had higher scores on the RBANS scale involving attention,verbal function,delayed memory,immediate memory,and visual span than the control group,P<0.05.The SF-36 scale score of the experimental group was higher than that of the reference group,and the PSQI score was lower than that of the reference group,P<0.05.The total effective rate of clinical treatment in the experimental group was better than that in the reference group,P<0.05.Conclusion The implementation of mindfulness-based cognitive therapy combined with drug therapy for adolescents with depression can effectively regulate their mental state,relieve negative emotions,improve their cognitive function,improve their quality of life and sleep,and contribute to improving the overall efficacy.

关 键 词：正念认知疗法 药物治疗 青少年 抑郁症 心理状况 认知功能 

分 类 号：R74[医药卫生—神经病学与精神病学]