Ⅱ型糖尿病伴发的抑郁情绪的社会心理支持治疗

Social Psychotherapy in Treating Type Ⅱ Diabetes Mellitus Complicated by Depression.

目的通过调查型糖尿病合并抑郁症患者对不同治疗方案的反应,探讨社会心理支持对型糖尿病合并抑郁症患者的影响,为临床诊断治疗提供依据。方法对252例型糖尿病病例进行抑郁自评量表评分,严重指数≥0.50诊断为抑郁症。将61例抑郁患者随机分为两组:A组30例抗抑郁治疗,B组31例抗抑郁治疗+社会心理支持治疗。结果1252例型糖尿病患者中61例合并抑郁症,占24.21%;2A、B两组患者治疗8周、12周后FBG、2hPBG、HbA1c均有明显降低,与治疗前相比有显著意义(P<0.05),但组间相比无显著性意义(P>0.05);24周后FBG、2hPBG、HbA1c组间比较出现差异,B组较A组FBG、2hPBG、HbA1c控制得更好,组间比较差异有显著性(P<0.01)。结论对型糖尿病合并抑郁症患者在抗抑郁的基础上,实施社会心理干预治疗更有利于原发病的控制及并发症的产生。

Objective To evaluate the effectiveness of social psychotherapy for type Ⅱ diabetes mellitus complicated by depression.Methods Depressive status was assessed by the Self-rating Depression Scale（SAS） in 252 type Ⅱ diabetes mellitus patients,and those with the score more than 50 were diagnosed as depression.61 patients complicated by depression were randomly assigned to group A and group B.In a period of 24 weeks,group B received integral intervention including antidepressants and social psychotherapy,while group A received mono-antidepressants.Results ①61 of 252 diabetes suffered depressions,the prevalence rate of depressions in diabetes was 24.21%.②There were significant differences at the end of 8 weeks and 12 weeks in both groups about FBG,2hPBG and HbA1c（P〈0.05）,but no-difference between group A and B（P〉0.05）.At the end of 24 weeks group B showed more significant difference than group A about FBG,2hPBG and HbA1c（P〈0.01）.Conclusion Compared with mono-antidepressants,integral intervention（antidepressants and social psychotherapy） was more effective in reducing complication and controlling original disease.