认知行为疗法结合家庭康复治疗对抑郁症患者应对方式及抑郁状态的影响

Influence of Cognitive Behavioral Therapy Combined with Family Rehabilitation Treatment on Coping Style and Depressive State of Patients with Depression

目的探究认知行为疗法结合家庭康复治疗对抑郁症患者应对方式及抑郁状态的影响.方法选取该院2019年6月—2020年7月收治的104例抑郁症患者为研究对象,按照随机数表法分为对照组和观察组,每组52例.对照组采用认知行为疗法,观察组采用认知行为疗法结合家庭康复治疗,均持续干预6个月.比较两组干预前后应对方式及抑郁状态.结果干预前,两组应对方式问卷(CSQ)评分、汉密尔顿抑郁量表(HAMD)评分比较,差异无统计学意义(P>0.05);干预后,观察组CSQ评分中解决问题、求助评分均高于对照组,自责、退避评分以及HAMD评分均低于对照组,差异有统计学意义(P<0.05);两组CSQ评分中幻想、合理化评分比较,差异无统计学意义(P>0.05).结论认知行为疗法结合家庭康复治疗可有效改善抑郁症患者的应对能力及抑郁状态,促进患者康复.

Objective To explore the effect of cognitive behavioral therapy combined with family rehabilitation treatment on the coping style and depressive state of patients with depression.Methods A total of 104 patients with depression who were admitted to our hospital from June 2019 to July 2020 were selected as the research objects,and divided into a control group and an observation group according to the random number table method,with 52 cases in each group.The control group was treated with cognitive behavioral therapy,while the observation group was treated with cognitive behavioral therapy com bined with family rehabilitation treatment,both of which were continuously intervened for 6 months.The coping style and de pressive state of the two groups before and after the intervention were compared.Results Before intervention,there was no statistically significant difference in copying style questionnaire(CSQ)score and Hamilton depression scale(HAMD)score(P>0.05);after the intervention,the problem solving and help-seeking scores in CSQ scores of the observation group were higher than those of the control group,and the scores of self-blame,withdrawal and HAMD scores were lower than those of the con trol group,and the differences were statistically significant(P<0.05);There was no statistically significant difference between the two groups in the GSQ scores of fantasy and rationalization(P>0.05).Conclusion Cognitive behavioral therapy combined with family rehabilitation treatment can effectively improve the coping ability and depressive state of patients with depression,and promote the recovery of patients.