摘要
目的探讨结构式团体心理治疗对轻、中度抑郁症患者症状及社会功能的影响。方法选取永康市第三人民医院精神科2019年6月至2020年5月收治的轻、中度抑郁症患者60例为研究对象,按照随机数字表法分为观察组和对照组各30例。对照组患者均给予常规抗抑郁药物治疗,观察组在对照组基础上辅以结构式团体心理治疗。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、简易应对方式问卷(SCSQ)分别评估两组患者焦虑状态、抑郁状态、应对方式进行比较。结果观察组治疗后SAS评分[(44.21±4.15)分]、SDS评分[(45.28±5.16)分]、HAMA评分[(12.41±2.16)分]、HAMD评分[(9.75±2.83)分]和SCSQ消极应对评分[(10.35±2.23)分]均低于对照组[(51.14±4.39)分、(53.64±5.31)分、(16.73±2.54)分、(14.18±2.72)分、(14.73±2.54)分],差异均有统计学意义(t=6.283、6.184、7.097、6.182、7.375,均P<0.001)。观察组治疗后SCSQ积极应对评分[(31.42±4.43)分]高于对照组[(24.16±4.27)分],差异有统计学意义(t=7.432,P<0.001)。结论轻、中度抑郁症患者在常规抗抑郁药物治疗的基础上辅以结构式团体心理治疗,能显著缓解患者的焦虑和抑郁症状,改善患者的应对方式。
Objective To investigate the effects of structured group psychotherapy on symptoms and social function of patients with mild to moderate depression.Methods Sixty patients with mild to moderate depression who received treatment in Department of Psychiatry of the Third People's Hospital of Yongkang from June 2019 to May 2020 were included in this study.They were randomly assigned to receive either conventional antidepressants(n=30,control group)or conventional antidepressants combined with structured group psychotherapy(n=30,observation group).The Self-rating Anxiety Scale,Self-rating Depression Scale Hamilton Anxiety Scale,Hamilton Depression Scale and the Simplified Coping Style Questionnaire were used to compare the anxiety state,depression state and coping style between the two groups.Results Self-rating Anxiety Scale,Self-rating Depression Scale,Hamilton Anxiety Scale,Hamilton Depression Scale and Simplified Coping Style Questionnaire scores in the observation group were(44.21±4.15)points,(45.28±5.16)points,(12.41±2.16)points,(9.75±2.83)points,and(10.35±2.23)points,respectively,which were significantly lower than those in the control group[(51.14±4.39)points,(53.64±5.31)points,(16.73±2.54)points,(14.18±2.72)points,(14.73±2.54)points,t=6.283,6.184,7.097,6.182,7.375,all P<0.001].Simplified Coping Style Questionnaire score in the observation group was significantly higher than that in the control group[(31.42±4.43)points vs.(24.16±4.27)points,t=7.432,P<0.001].Conclusion Structured group psychotherapy combined with conventional antidepressant therapy for treatment of mild to moderate depression can greatly reduce the symptoms of anxiety and depression and improve the coping style.
作者
田晓满
胡芳珍
胡洪进
Tian Xiaoman;Hu Fangzhen;Hu Hongjin(Department of Psychiatry,the Third People's Hospital of Yongkang,Yongkang 321300,Zhejiang Province,China;Psychosomatic Department,the Third People's Hospital of Yongkang,Yongkang 321300,Zhejiang Province,China)
出处
《中国基层医药》
CAS
2021年第11期1673-1677,共5页
Chinese Journal of Primary Medicine and Pharmacy
基金
浙江省永康市科技计划项目(201812)。
关键词
抑郁症
心理疗法
汉密尔顿抑郁量表
简易应对方式问卷
Depression
Psychotherapy
Hamilton depression scale
Simple coping style questionnaire
