团体人际心理治疗对住院抑郁症患者的疗效

Group Interpersonal Psychotherapy for Inpatient with Major Depression

目的:探讨团体人际心理治疗对住院抑郁症患者缓解抑郁症状和改善社会功能的效果。方法:选择符合DSMⅣ抑郁症诊断标准的60例住院病人,随机分成实验组和对照组各30人,实验组接受团体人际心理治疗联合药物治疗,对照组仅接受药物治疗,观察12周。治疗前对两组病人实施人际问题调查。治疗前后分别对两组施测汉密尔顿抑郁量表(HAMD)、社会功能缺陷筛选量表(SDSS)。结果:1、住院抑郁症患者人际问题的悲伤、角色转变、人际冲突以及人际关系缺乏分布分别为3(5%)、33(55%)、18(30%)、6(10%),χ2=31.87,P<0.01;2、治疗12周末,实验组抑郁症状缓解和社会功能改善程度较对照组更为显著(14.90±4.57/18.27±3.57,6.80±4.37/10.73±3.18,t=3.18、3.98,均P<0.05)。结论:1、住院抑郁症患者的人际问题以角色转变和人际冲突最为常见;2、团体人际心理治疗联合药物治疗对于住院抑郁症患者的疗效更为显著。

Objective： To evaluate the effectiveness in Group Interpersonal Psychotherapy by alleviating the symptoms and improving social function in depressive inpatients. Methods： 60 inpatients meeting criteria of DSM-Ⅵ for Major Depression were randomly assigned to experimental group and control group, 30 cases each. The experimen- tal group received integral intervention including antidepressants and Group Interpersonal Psychotherapy, while the control group received mono-therapy of antidepressants for 12 weeks. Interpersonal problem was identified before the therapy. HAMD, SDSS were administered at the end of screening day and 12 week to both group. Result： 1. Interpersonal problems areas （grief, interpersonal disputes, role transition and interpersonal deficit} in depressive inpatients showed a significant difference （ 5%, 55%, 30%, 10%, X^2 = 3. 187, P 〈 0. 05 ） ; 2. At the end of 12 week, the symptom alleviation and social function improving in the experimental group were more significant （ 14. 90±4H57/18.27 ±3.57, 6. 80 ± 4. 37/10. 73 ± 3HI 8, t = 3. 18, 3.98, P 〈 0. 05 ） . Conclusion： 1. Among interpersonal problem areas in depressive inpatient, role transition and interpersonal disputes are the most common ; 2. Compared with mono-therapy, integral intervention is more effective in reducing symptoms and improving social function for depressive inpatients.