团体身体心理治疗联合常规治疗对抑郁症的临床疗效研究

Efficacy of Group Body Psychotherapy Combined with Routine Treatment for Patients with Major Depression

目的:观察住院团体身体心理治疗(group body psychotherapy,GBPT)联合常规药物治疗对抑郁症的临床治疗效果。方法:选取2017年7月至2019年6月在上海市精神卫生中心住院的抑郁症患者60例,随机分为研究组与对照组,每组30例。对照组进行常规药物治疗,研究组在其基础上联合GBPT,开展4周的干预。比较两组患者基线、4周末和8周末在17项汉密尔顿抑郁评定量表(Hamilton Depression Rating Scale 17,HAMD-17)、汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)、匹兹堡睡眠质量指数量表(Pittsburgh Sleep Quality Index,PSQI)以及简化McG ill疼痛问卷(Short form McGill Pain Questionnaire,SF-MPQ)得分情况。结果:重复测量方差分析结果表明,与对照组相比,GBPT联合常规药物治疗能够降低患者HAMD-17(F=6.97,p<0.001)和PSQI得分(F=17.54,p<0.001),且与干预时间存在交互作用(F值分别为12.09和22.79,p<0.001)。与对照组相比,GBPT联合常规药物治疗对躯体疼痛改善作用无统计学意义(F=3.65,p=0.06),但组别与时间之间存在交互作用(F=11.84,p<0.001)。结论:与常规治疗相比,GBPT联合常规药物治疗能够减少患者抑郁症状,具有较好的临床推广价值。

Objective:To investigate the clinical efficacy of group body psychotherapy(GBPT)combined with routine medication treatment in the treatment of major depression.Methods:From July 2017 to June 2019,60 inpatients with moderate to severe depression in Shanghai Mental Health Center were selected and randomly assigned to the experimental group and control group,with 30 patients in each group.The patients in the control group received routine medication treatment,and the patients in the experimental group received GBPT on top of the basis.All the patients completed the 4-week intervention.The Hamilton Rating Scale for Depression(HAMD-17)score,Hamilton Anxiety Scale(HAMA)score,Pittsburgh Sleep Quality Index(PSQI)score,and the short-form McGill Pain Questionnaire(SF-MPQ)score of the patients in these two groups were compared at baseline,4 weeks,and 8 weeks,respectively.Results:The results of two-way repeated measures analysis of variance indicated that,compared with the control group,the combined intervention of GBPT could significantly reduce the HAMD-17 score(F=6.97,p<0.001)and improve the PSQI score(F=17.54,p<0.001),and had an interaction with the treatment time(F=12.09 and F=22.79,respectively;p<0.001).Although,compared with the control group,the combined treatment of GBPT for the improvement of somatic pain was not statistically significant(F=3.65,p=0.06),there was an interaction between the group and treatment time(F=11.84,p<0.001),indicating that the combined intervention of GBPT can improve patients’somatic pain more rapidly.Conclusions:Compared with the routine treatment,the combined treatment of GBPT with routine treatment could significantly reduce the depressive symptoms in patients and may have better clinical implications.