认知行为干预对抑郁症患者家属述情障碍应对方式、生活满意度及心理健康的影响

The effect of cognitive behavior intervention on alexithymia, coping style,life satisfaction and mental health in families of depression patients

目的调查抑郁症家属心理健康状况并评估认知行为心理干预效果。方法选择抑郁症家属和健康对照者各100名，并将家属分为心理干预组与家属对照组，心理干预组接受认知行为心理干预。心理健康评估工具包括健康问卷12项（CHQ-12）、多伦多述情障碍量表（TAS-20）、特质应对方式问卷（TCSQ）和生活满意度指数A（LSIA）。结果抑郁症家属CHQ≥4分比率明显高于健康对照者（X2=4．39，P〈0．05），TAS．20[（52．36±10．71）分；（47．59±10．06）分；t=3．25，P〈0．01]、CHQ-12[（2．97±2．41）分；（2．O1±1．95）分；t=3．10，P〈0．01]、LSIA[（12．34±3．94）分；（14．89±3．99）分；t：4．54，P〈0．01]评分差异有显著性。抑郁症家属心理健康影响因素包括患者总病程及HAMD评分、其自身性别、年龄、婚姻状况、受教育年限、述情障碍及应对方式（P〈0．05）。心理干预组消极应对（NC）、CHQ-12和LSIA评分第3月末较入组时有显著改善（P〈0．01），而家属对照组无明显变化（P〉0．05）。结论抑郁症患者家属情感表达、生活满意度和心理健康较差，认知行为心理干预可以有效改善应对方式、生活满意度和心理健康。

Objective To investigating mental health statuses of depression patients＇ families and evalu- ate effect of cognitive behavior group intervention on them. Methods Depression patients＇ families and health control were selected respectively 100 persons. The families were randomly grouped into intervention group and control group with those in intervention group receiving cognitive behavior group intervention. The scales evaluating mental health included CHQ-12,TAS-20,TCSQ and LSIA. Results The ratio of CHQ~〉4 in families group was significantly higher than that in health control group （P 〈 0.05 ） , and there were notable difference for scores of TAS-20（52.36±10.71;47.59 ±10.06; t=3.25, P〈0.01）,CHQ-12（2.97±2.41;2.01 ±1.95; t=3.10, P〈 0.01） and LSIA（12.34±3.94;14.89±3.99;t=-4.54, P〈0.01） between two groups. The impact factors for mental health of families included whole duration and HAMD score of depression patients,and families＇ sex,age, marriage status,education duration, alexithymia, coping style. After psychological intervention, the scores of NC, LSIA were notably improved （P 〈 0.01 ） in intervention group, but there was no significant change in families con- trol group. Conclusion The families of depression patients have more problem on emotional expression, life satis- faction and mental health, and cognitive behavior intervention is effective on coping style, life satisfaction and men- tal health.