“三位一体”心理干预在老年抑郁症患者中的应用

Influence of trinity psychological intervention on elderly patients with depression

目的探讨个体、团体、家庭"三位一体"心理干预在老年抑郁症患者中的应用方法,并观察其对老年抑郁症患者抑郁、应对及防御方式的影响。方法将70例老年抑郁症患者随机分为干预组和对照组,对照组采用药物治疗和精神科常规护理,干预组在此基础上采用个体、团体、家庭"三位一体"心理干预。心理干预前后采用抑郁自评量表(Self-rating depression scale,SDS)、简易应对方式问卷(Simplifieed coping stye Questionnaire,SCSQ)和防御方式问卷(Defense stye Questionnaire,DSQ)分别对两组患者进行评价。结果心理干预后,干预组患者SDS评分低于对照组;积极应对分数高于对照组,消极应对分数低于对照组;成熟型得分高于对照组,不成熟型得分低于对照组,两组比较,均P<0.05,差异具有统计学意义。结论个体、团体、家庭"三位一体"的心理干预,三者紧密联系,相互影响,从而有效减轻患者的抑郁症状,改善其应对及防御方式,从而提高患者的心理社会功能的康复。

Objective To investigate the psychological intervention of trinity of individuals,team and family on elderly patients with depression,and to observe its influence on therapeutic effect,coping and defense style in elderly patients with depression.Methods Seventy-five elderly patients with depression were randomly divided into the interventional group（n = 37） and the control group（n = 38）.The control group received pharmacotherapy and the conventional psychiatric nursing.The interventional group received psychological intervention of trinity of individuals,team and family besides above-mentioned treatment.Patients in the two groups were assessed by SDS,SCSQ and DSQ before and after psychological intervention.Results After psychological intervention,SDS scores in the interventional group were lower than that in the control group;active coping scores were higher and passive coping scores were lower in the interventional group than in the control group;maturity scores were higher and immaturity scores were lower in the interventional group than those in the control group（P 0.05）.Conclusion Individuals,team and family are closely related and influence each other.The trinity method of psychological intervention can effectively reduce depressive symptoms of patients,improve their coping and defense style,and promote the recovery of patients＇ psychosocial function.