应付技能培训对首发抑郁症患者自我接纳和应付方式的影响

Impacts of Coping Skills Training on Self-acceptance and coping styles in patients with first onset depression

目的:探讨应付技能培训对首发抑郁症患者自我接纳和应付方式的影响。方法:将80例首发抑郁症患者随机分为观察组和对照组,各组40例。两组均进行常规治疗和护理,观察组在此基础上实施应付技能培训。采用应付方式问卷、自我接纳量表、治疗依从性调查问卷于培训前、培训后1周和3个月对两组患者进行效果评定。结果:应付技能培训后1周、3个月时两组评分比较,观察组的自我接纳水平显著高于对照组(P<0.05,P<0.01);积极应付方式明显优于对照组,且持续时间长(P<0.05,P<0.01);治疗依从性明显优于对照组(P<0.05,P<0.01)。结论:应付技能培训可有效提高首发抑郁症患者的应付技巧和自我接纳水平,提高治疗依从性。

Objective：To explore impacts of coping skills training on self - acceptance and coping styles in patients with first onset depression. Methods：80 patients with first onset depression were randomly divided into observation group and control group, each group 40 cases. Both groups were routine treatment and care, observation group implemented on the basis of dealing with coping skills training. Used coping style questionnaire, self- acceptance scale and treatment compliance questionnaire to assess the effect of the two groups of patients before the training, after training for one week and three months. Results： Comparison the scores between the two groups after coping skills training for one week and three months, the self - acceptance level of the observation group was signifi- cantly higher than that in the control group （P 〈0.05, P 〈 0.01 ）. Active coping style was significantly better than the control group, and of long duration （ P 〈 0.05, P 〈 0.01 ）. Treatment compliance was significantly better than the control group （ P 〈 0.05, P 〈 0. 01 ）. Conclusions： Coping skills training can effectively improve the coping skills and self- acceptance level of patients with first onset depression, improve the treatment compliance.