认知治疗对提高抑郁症患者自我概念水平的对照研究

A controlled study of cognitive therapy in improving self- concept level of depressive patients

目的 探讨认知治疗对提高抑郁症患者自我概念水平的心理康复作用.方法 将符合入组标准的100例康复期抑郁症患者随机分为研究组和对照组各50例,在两组均使用抗抑郁药物治疗的基础上,仅对研究组进行认知治疗,10次为一个疗程.采用田纳西自我概念量表（TSCS）、自尊量表（SES）和自卑感量表（FIS）进行治疗前后自身对照和两组相互对照.结果 研究组认知治疗后TSCS、SES评分明显增高而FIS评分明显减低,差异有明显统计学意义（P〈0.01）.认知治疗后研究组疗效明显,且与对照组比较,TSCS、SES评分升高而FIS评分减低,差异有统计学意义（P〈0.05）.治疗前后两组TSCS、SES和FIS得分差值相比较差异有明显统计学意义（P〈0.01）.结论 认知治疗有助于消除康复期抑郁症患者的自卑心理,增强自信心,提高自我概念水平,有利于精神康复.

Objective To explore the eliect oi cognitive therapy on improving sell-concept level of depressive patients. Methods 100 depressive patients during rehabilitation were randomly divided into two groups, experimental and control groups, and each group contained 50 cases that were treated with anti-depressive drugs. The experimental group, however, was also received the cognitive therapy, one course of treatment contained 10 times. Individuals in both groups were evaluated and compared by TSCS, SES and FIS before and after therapy. Results Scores of the TSCS and SES in the experimental group were higher and scores of the FIS were lower after the cognitive therapy than before （P 〈 0. 01）. The difference in the scores of TSCS, SES and FIS between two groups was significant after therapy （P 〈 0.05）. There was an extremely significant difference in the differential scores of three schedules between two groups （P 〈 0. 001）. Conclusions Cognitive therapy can help the patients eliminate the inferiority, reinforce the confidence, improve the self-concept, and is helpful for mental rehabilitation.