心理干预对抑郁障碍患者治疗的影响

Effect of Psychological Intervention to Depression Treatment

目的探讨心理干预对抑郁障碍治疗的影响。方法以46例接受抗抑郁药治疗的抑郁障碍患者为研究对象,随机分为对照组(n=23)和观察组(n=23)。对照组单纯用药物治疗,氟西汀20mg/日或博乐欣100mg/日分2次口服。观察组在接受同等剂量药物治疗同时,第2周开始接受个别心理治疗,主要采取Beck认知疗法、森田疗法、行为疗法等心理治疗方法。每周1次。并于第8周开始减少药物剂量。分别于第4、8、12周末通过SDS、SAS量表评定进行对比分析。结果观察组自治疗第4周开始SDS、SAS评分明显下降。与对照组间比较差异显著(P<0.01)。观察组自治疗第8周开始减少药物剂量,服药总剂量低于对照组,但SDS、SAS评分确明显好于对照组(P<0.01)。结论单纯药物治疗虽然能短期改善症状但无法改变患者认知水平。心理干预能改变病人的认知模式、使其人格得到改善,阻止其社会功能的缺损。

Objective To explore the effect of psychological intervention to depression treatment. Methods Take 46 patients accepting anti-depression medicine as study objects. Divide the patients into contrast group （N=23） and observation group （N=23）. The former only used medicine to treat, who took oral Fluoxetine. Hydrochlorlde 20mg/day or Venlafaxine Hydrochloride Capsules 100mg/day Bid po. The latter used equivalent dose and at same time accepted individual psychological therapy from the second week, mainly including Beck cognitive therapy, Neo-Morita therapy and behavior therapy every week. And from the 8th week drug dosage was reduced. And at the 4th, 8th and 12th weekends, compared and analyzed the two groups through SDS and SAS measurement sheet for evaluation. Results SDS and SAS scores of the observation group reduce obviously since the 4th week, there was significant difference （P〈0. 01） from the contrast group. Since the 8th week, the observation group reduce drug dosage but scores of SDS and SAS of observation group were much better than that of contrast group （P〈0. 01）. Conclusion Though the absolute medicine therapy improves the symptom in short time but can＇t change the cognitive standard of patient. The psychological intervention improves cognitive schema, personalty, and society function.