摘要
目的研究认知行为治疗(cognitive behavior therapy,CBT)对抑郁症患者疾病认知、心理健康水平及应对方式的影响。方法连续选择2016年6月～2017年6月入我院诊断为抑郁症患者共96例,随机将其分为对照组和观察组,各48例。对照组采用常规专科护理,观察组采用CBT;采用生存质量简表(WHOQOL)比较两组患者治疗后疾病认知程度,汉密尔顿抑郁量表(HAMD)比较心理健康水平,简易应对方式问卷(simple coping style questionnaire,SCSQ)比较应对方式。结果观察组治疗后WHOQOL中生理领域、心理领域、社会关系和环境领域4个项目评分和总评分均显著高于对照组,差异有统计学意义(P<0.05)。观察组HAMD评分显著低于对照组,可能抑郁和无抑郁人群比例明显升高,差异有统计学意义(P<0.05)。观察组SCSQ积极应对评分显著升高,消极应对评分降低,差异有统计学意义(P<0.05)。结论 CBT可显著改善抑郁症患者的疾病认知、心理健康水平及应对方式。
Objective To study the effect of cognitive behavior therapy(CBT)on the cognition of disease,mental health and coping style in patients with depression.Methods 96 patients with depression diagnosed in our hospital from June 2016 to June 2017 were consecutively selected and randomly divided into control group and observation group,with 48 cases in each group.The control group was treated with routine specialist care and the observation group was treated with CBT.The WHOQOL was used to compare the cognitive status,the Hamilton Depression Rating Scale(HAMD)and the level of mental health of the patients after treatment.The simple coping style questionnaire(SCSQ)was used to compare the coping style.Results The scores of the four items including physiological field,psychological field,social relationship and environmental fieldand the total scores of the WHOQOL in the observation group were significantly higher than those in the control group.The difference was statistically significant(P<0.05).The HAMD score in the observation group was significantly lower than that in the control group,and the proportion of possible depression and non-depression populations was significantly higher,with a statistically significant difference(P<0.05).In the observation group,the positive response score of SCSQ increased significantly,and the negative response score decreased.The difference was statistically significant(P<0.05).Conclusion CBT can significantly improve the cognition of disease,mental health and coping style in patients with depression.
作者
王梅
杨开仁
金庞
WANG Mei;YANG Kairen;JIN Pang(Department of Psychiatry,Quzhou Third Hospital in Zhejiang Province,Quzhou 324000,China;Department of Psychology,Quzhou Third Hospital in Zhejiang Province,Quzhou 324000,China)
出处
《中国现代医生》
2019年第1期83-86,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2016ZHB040)
关键词
认知行为治疗
抑郁症
生存质量简表
汉密尔顿抑郁量表
简易应对方式问卷
Cognitive behavioral therapy
Depression
Quality of life short form
Hamilton depression scale
Simple coping style questionnaire
