正念减压疗法联合沙盘游戏对抑郁症患者病情的影响  

The effect of mindfulness-based stress reduction therapy combined with sandplay on patients with depression

作　　者：王晓燕 匡晓丽 刘玉萍 WANG Xiaoyan;KUANG Xiaoli;LIU Yuping(Jiaozhou Psychological Rehabilitation Hospital,Qingdao 266300,China)

机构地区：[1]胶州市心理康复医院,山东青岛266300

出　　处：《心理月刊》2025年第5期156-158,共3页

摘　　要：目的 分析正念减压疗法联合沙盘游戏对抑郁症患者病情的影响。方法 选取2023年1月~2024年7月胶州市心理康复医院接诊的80例抑郁症患者实施随机对照分析,以随机抽签法分为对照组及观察组,每组各有40例。对照组采取药物治疗,观察组在常规用药基础上采取正念减压疗法联合沙盘游戏治疗。对比两组治疗后的抑郁状态、应对方式、心理健康水平,并调查患者的社会功能。计数资料以χ^(2)检验,正态计量资料以t检验。结果 干预前,两组汉密尔顿抑郁量表(HAMD)评分、应对方式、心理健康水平及住院精神病患者康复疗效评定量表(IPROS)评分比较无显著差异(P>0.05);干预后,观察组HAMD、消极应对、心理健康水平评分比对照组低,积极应对及IPROS评分比对照组高,差异有统计学意义(P<0.05)。结论 抑郁症患者采取正念减压疗法联合沙盘游戏可改善患者的社会功能,使患者形成积极应对思维,并提升患者心理健康水平,持续减轻抑郁病症。Objective To analyze the effect of mindfulness-based stress reduction combined with sandplay on the condition of patients with depression.Methods A total of 80 patients with depression admitted to Jiaozhou Psychological Rehabilitation Hospital from January 2023 to July 2024 were randomly divided into control group and observation group by random lottery method,with 40 cases in each group.The control group was treated with medication,and the observation group was treated with mindfulness-based stress reduction combined with sandplay on the basis of routine medication.The depression state,coping style and mental health level of the two groups were compared after treatment,and the social function of patients was investigated.The count data were analyzed by χ^(2)test,and the normal measurement data were analyzed by t test.Results Before intervention,two groups of Hamilton depression rating scale(HAMD)score,coping style,mental health level and inpatient psychiatric rehabilitation observing scale(IPROS)score between the two groups(P>0.05).After intervention,the HAMD,negative coping and mental health level scores of the observation group were lower than those of the control group,and the scores of positive coping and IPROS were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Mindfulness-based stress reduction combined with sandplay can improve the social function of patients with depression,make patients form positive coping thinking,improve the level of mental health of patients,and continue to alleviatedepression.

关 键 词：正念减压疗法 沙盘游戏 抑郁症 社会功能 应对方式 

分 类 号：R47[医药卫生—护理学]