人际学习训练对抑郁症与神经症的作用

The efficacy of interpersonal learning training on neuroses and depression

目的:探讨人际学习训练对抑郁症与神经症的作用。方法:将64例经过1个月以上系统药物治疗的抑郁症和神经症患者随机分为联合治疗组和单用药物组,每组32例。联合治疗组在药物治疗的基础上进行人际学习训练为主的团体心理治疗,每周1次,共16次。单用药物组只进行药物治疗。两组均采用90项症状清单(SCL-90)分别于治疗前后进行测评。结果:治疗后,联合治疗组SCL-90总分(109.91±21.98)分,人际关系敏感(1.27±0.16)分,焦虑(1.22±0.15)分,精神病性(1.18±0.12)分,敌对(1.06±0.09)分,偏执(1.05±0.10)分,其他(1.14±0.13)分;单用药物组分别为(113.09±30.52)分、(1.91±0.18)分、(1.42±0.21)分、(1.32±0.09)分、(1.33±0.24)分、(1.57±0.20)分及(1.33±0.19)分,两组SCL-90总分及各因子分均较治疗前显著下降;以联合治疗组下降更为显著(P<0.01)。结论:在药物治疗的基础上,应用人际关系学习训练,对抑郁症和神经症患者的症状改善有着积极的意义。

Objective： To discuss the effect of interpersonal learning training on neuroses and depression. Method：After the systematic drug treatment for a month or more ,64 patients with neuroses or depression were randomly divided into co-treatment group （ 32 cases ） and control group （ 32 cases ）. Co-treatment group received drug therapy and group psychotherapy focusing on interpersonal learning for 16 weeks, once per week. The control group received drug therapy only. Before and after the treatment, the symptom checklist 90 scale （SCL-90） was used to evaluate. Results：On SCL-90 after the treatment, the two groups had the total score of （ 109.91 ± 21.98 ） vs （ 113.09 ± 30.52 ） , interpersonal sensitivity score of （ 1.27 ± 0. 16） vs （ 1.91 ± 0. 18）, anxiety score of （ 1.22 ± 0.15 ） vs （ 1.42 ± 0.21 ）, psychotic score of （ 1.18 ± 0. 12 ） vs （ 1.32 ± 0.09 ）, hostile score of （ 1.06 ± 0. 09） vs （ 1.33 ± 0. 24）, paranoia score of （ 1.05 ±0.10 ） vs （ 1.5 7± 0. 20 ）, other score of （1.14 ± 0.13） vs （1.33 ± 0.19）. The co-treatment group showed more decreased scores on SCL-90 than control group （ all P 〈 0. 01 ） although the two groups showed significant decreased scores on SCL-90. Conclusion： Based on drug treatment, interpersonal skills training will be helpful for the improvement of neurotic or depressive symptoms for patients with depression or neuroses.