摘要
目的:探讨药物治疗和认知行为疗法结合心理社会支持干预治疗抑郁症的临床效果。方法:筛选在我院治疗、病历资料完整,诊断明确并配合治疗的抑郁症患者160例,随机将所有患者分为3组,其中对照组给予帕罗西汀片药物治疗,观察一组给予认知行为疗法结合心理社会支持干预,观察二组同时给予帕罗西汀片药物治疗和认知行为疗法结合心理社会支持干预。结果:爱丁堡抑郁量表(EPDS)评分比较.治疗前3组患者差异无显著性;治疗后观察一、二组患者EPDS评分均较治疗前显著下降,治疗后第4、8周末,3组之间EPDS总分比较差异均有统计学意义(U=4.923,7.145;P<0.01);汉密尔顿抑郁量表(HAMD)评分治疗前HAMD总分差异无显著性;治疗后第2周开始,观察组两组HAMD评分均较治疗前显著下降,在治疗后第2、6周末,3组间HAMD总分比较差异有统计学意义(U=3.912,6.429;P<0.05)。结论:认知行为疗法和心理社会支持干预结合药物治疗抑郁症患者,临床疗效确切,明显改善了患者的抑郁、焦虑情绪,值得进一步研究和推广。
Objective： To investigate the effect of cognitive- behavioral therapy and psychosocial support interventions combined with drug therapy for depression. Methods： Screening treatment in our hospital,medical data integrity,and with a clear diagnosis of depression treatment,all patients were randomly divided into three groups,including the control group received paroxetine tablets medication,cognitive behavioral observation group was given a therapy combined with psychosocial support interventions,observed two groups while giving paroxetine tablets medication and cognitive behavioral therapy combined with psychosocial support interventions. Results： EPDS scores in three treatment groups were no significant differences between patients before treatment; Treatment was observed in one,two groups of patients,EPDS scores were significantly decreased after treatment 4,8 weekend,three EPDS score differences between groups were significant（ U = 4. 923,7. 145; P〈0. 01）; HAMD total scores of three groups before treatment were no significant differences; From two weeks after treatment,two observation groups ＇ HAMD scores decreased significantly than before treatment,after treatment,2,6 weekend,HAMD total scores among three groups were statistically significant differences（ U = 3. 912,P〈0. 05）. Conclusion： Cognitive behavioral therapy and psychosocial support interventions combined treatment for depression can significantly improve patients＇ depression,anxiety,it is worthy of further research and extension.
出处
《中国健康心理学杂志》
2015年第6期830-833,共4页
China Journal of Health Psychology
