光照结合氟西汀治疗冬季发作抑郁症  

Effect of light therapy combined with fluoxetine on winter attack depression

作　　者：林举达[1] 邹晓波[1] 陆兰[1] 李雪洁[1] 林志雄[1] 

机构地区：[1]广东医学院附属医院心理科,广东湛江市524001

出　　处：《中国康复理论与实践》2004年第4期200-201,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的观察光照结合氟西汀治疗冬季发作抑郁症的疗效。方法将 68例冬季发作的抑郁症患者随机分为治疗组和对照组各 3 4例。治疗组除接受氟西汀 (2 0mg/d)治疗外 ,还接受光照疗法 ,而对照组则单用氟西汀治疗。采用Beck抑郁自评量表(BDI)、汉密顿抑郁量表 (HAMD)对两组患者治疗前、治疗 2周、4周、8周 (治疗结束 )时的疗效进行评定 ;应用SCL 90量表在治疗前、治疗结束、随访 6个月时进行评定。结果治疗组患者的疗效优于对照组 (P <0 .0 5 )。结论光照结合氟西汀疗法对冬季发作的抑郁症有较好的近、远期疗效和预防复发作用。ObjectiveTo observe the effect of light therapy combined with fluoxetine on winter attack depression.Methods68 patients of winter attack depression were divided randomly into the treatment group and control group with 34 cases in each group. Patients of the treatment group were treated by bright white light combined with fluoxetine (20 mg/d), but cases of the control group were treated only with fluoxetine. Therapeutic effects of two groups were evaluated with BDI, HAMD, and SCL-90 scales and traditional evaluation.ResultsPatients of the treatment group had a better effect than that of the control group ( P<0.05).ConclusionLight therapy combined with fluoxetine has a good short and long term effect on winter attack depression, and can prevent from recurrence.

关 键 词：光照疗法 氟西汀 抑郁症 

分 类 号：R749.4[医药卫生—神经病学与精神病学]