行为认知疗法对抑郁伴焦虑患者的效果  

The effects of behavioral cognitive therapy in the treatment of patients with depression and anxiety

作　　者：王侠[1] 王家蔚 邢锋 WANG Xia;WANG Jiawei;XING Feng(Department of Psychosomatic Medicine,Taihe County People's Hospital,Taihe 236600,China)

机构地区：[1]皖南医学院附属太和医院心身医学科,太和236600 [2]亳州市人民医院精神科

出　　处：《国际精神病学杂志》2025年第1期106-109,共4页Journal Of International Psychiatry

摘　　要：目的 探讨行为认知疗法在抑郁伴焦虑患者治疗中的价值。方法 在2022年1月~2023年10月期间,纳入确诊为抑郁伴焦虑的82例患者进行研究,以随机数字表法分2组,对照组接受米氮平治疗,观察组加用行为认知疗法治疗。分析2组抗焦虑效果、抗抑郁效果,并对比心理状态、睡眠质量。结果 观察组抗抑郁效果高于对照组(P<0.05);抗焦虑效果高于对照组(P<0.05);观察组统计的治疗后2周、4周、8周汉密顿抑郁量表-17(Hamilton Depression Scale,HAMD)评分与汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)评分低于对照组(P<0.05);观察组统计的治疗后2周、4周、8周匹茨堡睡眠质量指数量表(Pittsburgh Sleep Quality Index,PSQI)评分低于对照组(P<0.05)。结论 在抑郁伴焦虑治疗中采用行为认知疗法抗抑郁、抗焦虑效果理想,同时可改善患者睡眠质量。Objective To explore the value of behavioral cognitive therapy in the treatment of patients with depression and anxiety.Methods From January 2022 to October 2023,82 patients diagnosed with depression and anxiety were included and divided into 2 groups by random number table method.The control group received mirtazapine treatment,and the observation group received behavioral cognitive therapy.The anti-anxiety and anti-depression effects of the two groups were analyzed,and the psychological status and sleep quality were compared.Results The antidepressant effect of observation group was higher than that of control group(P<0.05).The anti-anxiety effect was higher than that of control group(P<0.05).The scores of Hamilton Depression Scale 17(HAMD)and Hamilton Anxiety Scale(HAMA)in the observation group were lower than those in the control group at 2,4 and 8 weeks after treatment(P<0.05).The Pittsburgh Sleep Quality Index(PSQI)scores of the observation group were lower than those of the control group at 2,4 and 8 weeks after treatment(P<0.05).Conclusion Behavioral cognitive therapy is effective in the treatment of depression and anxiety,and can improve the sleep quality of patients.

关 键 词：米氮平 行为认知疗法 抑郁症 焦虑 心理状态 睡眠质量 

分 类 号：R749.05[医药卫生—神经病学与精神病学]