摘要
目的 探讨艾司西酞普兰联合小组认知行为治疗老年首发抑郁症的疗效.方法 87例老年首发抑郁症患者随机分成两组,小组认知联合药物治疗组（联合组,42例）和单纯用药物治疗组（药物组,45例）.治疗前及治疗后2、4、8个月,应用汉密尔顿焦虑量表、汉密尔顿抑郁量表和自动想法问卷判定治疗效果;同时行连续执行测验评定患者的认知功能;并与第一阶段末疗效因子评分进行比较.结果 联合组较药物组抑郁症状改善明显,信息传递、自我了解、团队凝聚力、情绪宣泄等因子在疗效评估中占优.结论 小组认知行为治疗联合药物治疗能提高首发老年抑郁症的疗效,改善患者功能性认知,提高患者生活满意度,远期疗效较好.
Objective To investigate the efficacy of escitalopram combined with cognitive behav-ioral therapy on elderly first-episode depression. Methods A total of 87 cases of elderly patients with first-episode depression were randomly divided into two groups,group cognitive combined drug therapy group （combined group,42 cases）and only medication group （drug group,45 cases）. Before and after 2,4,8 months of treatment,Hamilton anxiety scale,Hamilton depression scale and automatic idea ques-tionnaire were used to determine the therapeutic effect;at the same time,the cognitive function of the pa-tients was evaluated by continuous executive test and compared with the scores of therapeutic factors at the end of the first stage. Results The depression symptoms improved significantly in the combined group compared with the drug group,information transmission,self understanding,team cohesion,emo-tional catharsis and other factors in the evaluation of curative effect was dominant. Conclusions Group cognitive behavior therapy combined with drug therapy can improve the curative effect of first-episode se-nile depression,improve the functional cognition and the life satisfaction of patients,with better long-term curative effect.
作者
马衡
赵指亮
孙群星
王永学
赵顺来
马琳
郭华
Ma Heng, Zhao Zhiliang, Sun Qunxing, Wang Yongxue, Zhao Shunlai , Ma Lin , Guo Hua(Department of Paychiatry, the Second People＇ s Hospital of Zhumadian, Zhumadian 463000, Chin)
出处
《中国实用医刊》
2018年第2期35-37,共3页
Chinese Journal of Practical Medicine
关键词
小组认知行为
老年抑郁症
疗效因子
Cognitive-behavioral group therapy
Senile depression
Therapeutic factor
