“异性效应”对抑郁症住院患者的疗效影响

The heterosexual effect on the depression in hospitalized patients

目的:探讨"异性效应"对抑郁症住院患者疗效的影响。方法:研究组抑郁症患者48例,男20例,女28例,全部入住男女混合病区;对照组抑郁症患者46例,男21例,女25例,分别入住男病房和女病房施行封闭管理。两组在抗抑郁治疗前后采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)和健康状况调查问卷(SF-36)进行评定以及自制行为观察量表对患者的性行为进行风险评估。结果:两组HAMA、HAMD和SF-36评分治疗后均较治疗前有明显改善(P均<0.01)。研究组平均住院天数(57.84±28.84)d较对照组(48.28±21.11)d显著延长(t=2.92,P<0.01)。两组行为观察比较,以研究组对异性骚扰、亲呢举动等行为发生率高于对照组但差异无统计学意义(χ2=0.67,P>0.05)。结论:"异性效应"能够缓解患者的焦虑抑郁症状并延长主动住院时间。

Objective：To explore the efficacy of heterosexual effect in treating the hospitalized patients with depression disorder. Method：Study group of 48 cases, male 20 cases and female 28 cases, all admitted to mixed management in ward ;control group of 46 cases, male 21 cases and female 25 cases, admitted to male and female wards, respectively the purpose of closed management mode. They were evaluated with the Hamiltonanxiety scale scale（ HAMA）, Hamilton depression scale（HAMD） scale and quality of life scale （SF-36） before and after treatment, to observe the sexual behavior with behavior observation scale. Results ： Two groups of HAMA, HAMD and SF-36 scores after treatment at all stages are significantly improved（P 〈 0.01 ）. The hospi- tal stay of the study group （57.84 ~ 28.84） d was significantly longer than the control group （48.28 ± 21.11 ） d （ t = 2. 92, P 〈 0.01 ）. In sexual harassment and intimacy, the incidence of the study group was higher than the control group but no statistical difference （ X^2 = 0. 67, P 〉 0.05 ）. Conclusion ： The heterosexual effect can relieve the symptoms of anxiety and depression and extend hospital stay in depressive patients.