认知疗法辅助治疗产后抑郁症疗效观察

Effect of Cognitive Therapy in the Assistant Treatment of Postnatal Depression

目的探讨认知疗法对产后抑郁症患者的辅助治疗效果。方法将60例产后抑郁症患者随机分为舍曲林联合认知治疗组及单用舍曲林治疗组各30例进行对照研究,疗程8周。在治疗前及治疗后、出院后第3个月和第6个月进行随访时各做1次汉密尔顿抑郁量表(HAMD)、Zung氏抑郁自评量表(SDS)评定疗效,其评定结果采用t检验。结果两组在治疗后第8周末,疗效未见统计学差异;在出院后第3个月和第6个月进行随访时,两组疗效有显著性统计学差异,研究组远期效果优于对照组。结论认知疗法辅助治疗产后抑郁症可使治疗效果更持久。

Objective To explore the effect of cognitive therapy in the assistant treatment of postnatal depression.Methods A total of 60 patients of postnatal depression were randomly divided into the sertraline plus cognitive therapy group（n=30）and single sertraline group（n=30）for 8 weeks. Efficacies were assessed in pretreatment and post-treatment and followed up since the end of the 3th and 6th month by HAMD and SDS.T test were used in data analysis.Results There was no difference between the 2 groups in the 8 weeks of treatment. But there was difference between the 2 groups since the end of the 3th and 6th month follow-up. The effect of research group was significantly higher than that of control group in future. Conclusion Cognitive therapy has more persistent treatment effect in the assistant treatment of postnatal depression.