团体人际心理治疗产后抑郁症的疗效观察

Observation on effect of group interpersonal psychotherapy on postpartum depression

目的:探讨团体人际心理治疗对减轻产后抑郁症患者抑郁症状和改善社会功能的效果。方法:人际心理治疗组38例产后抑郁症患者进行8周的团体人际心理治疗,对照组的35例产后抑郁症患者给予一般治疗。两组患者在治疗前及治疗后3个月采用爱丁堡产后抑郁量表(EPDS)、汉密顿抑郁量表(HAMD)、人际问题问卷(IIP)及社会功能缺陷筛选量表(SDSS)等进行评估。结果:与对照组比较,治疗后3个月末的人际心理治疗组人际能力和社会功能改善更明显(P<0.01),人际心理治疗组抑郁症状的缓解程度明显优于对照组(P<0.01)。结论:团体人际心理治疗能够改善产后抑郁症患者的人际能力和社会功能,对产后抑郁症有较好的疗效。

Objective：To explore the effect of group interpersonal psychotherapy on postpartum depression and social function.Methods：38 patients with postpartum depression received group interpersonal psychotherapy for 8 weeks（psychotherapy group） and 35 patients with postpartum depression received conventional therapy（control group）,the patients in psychotherapy group and control group were evaluated by EPDS,HAMD,IIP and SDSS before treatment and on the third month after treatment.Results：On the third month after treatment,the improvements of interpersonal competence and social function in psychotherapy group were superior to those in control group（P〈0.01）,the remission of depression was better than that in control group（P〈0.01）.Conclusion：Group interpersonal psychotherapy can improve the interpersonal competence and social function of patients with postpartum depression,which is effective in treatment of postpartum depression.