摘要
目的:探讨认知行为治疗(CBT)对抑郁症住院患者自杀意念的影响。方法:将100例抑郁症住院患者随机分为干预组和对照组各50例,对照组给予抗抑郁药治疗及精神科常规护理,干预组在此基础上实施CBT,采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、大体评定量表(GAS)和自杀意念自评量表(SIOSS),对存在自杀意念的抑郁症患者进行评定。比较两组干预前后HAMD、HAMA、GAS、SIOSS评分情况。结果:干预后第4周,干预组HAMD、HAMA评分低于对照组(P <0. 05),GAS总分高于对照组(P <0. 05),SIOSS各项分值和总分值均低于对照组(P <0. 05)。结论:在抗抑郁药治疗及精神科常规护理的基础上加用CBT干预,可有效改善抑郁症患者抑郁、焦虑程度及社会功能,对减轻其自杀意念产生积极影响。
Objective:To explore the effect of cognitive behavioral therapy(CBT)on suicidal ideation in hospitalized patients with depression.Methods:A total of 100 hospitalized patients with depression were randomly divided into intervention group and control group,50 cases in each group.The control group was given antidepressant treatment and psychiatric routine care,and the intervention group implemented CBT on this basis.Depression patients with suicidal ideation were assessed using the Hamilton Depression Scale(HAMD),the Hamilton Anxiety Scale(HAMA),the General Rating Scale(GAS),and the Suicidal SelfAssessment Scale(SIOSS).Comparison of HAMD,HAMA,GAS and SIOSS scores before and after intervention in the two groups.Results:At the 4th week after intervention,the HAMD and HAMA scores of the intervention group were lower than those of the control group(P<0.05),and the total score of GAS was higher than that of the control group(P<0.05).The scores and total scores of SIOSS were lower than those of the control group(P<0.05).Conclusion:CBT intervention on the basis of antidepressant treatment and routine psychiatric nursing can effectively improve depression,anxiety and social function of depressive patients,and have a positive impact on reducing suicide ideation.
作者
丁晓晴
潘红芬
Ding Xiaoqing;Pan Hongfen(Shanghai Tongji Hospital,Shanghai 200065,China)
出处
《齐鲁护理杂志》
2018年第21期1-4,共4页
Journal of Qilu Nursing
关键词
抑郁症
认知行为治疗
自杀意念
Depression
Cognitive behavioral therapy
Suicidal ideation
