心理干预对抑郁症患者治疗效果的影响

Influence of psychological intervention on treatment effect to patients with depression

目的 探讨心理干预对抑郁症患者治疗效果的影响.方法 将70例抑郁症患者随机分为心理干预组和对照组各35例.对照组采用常规抗抑郁药物治疗,心理干预组在此基础上增加综合心理干预治疗.分别于入组前及治疗一年后采用Beck抑郁自评量表（BDI）和汉密顿抑郁量表（HAMD）评定临床治疗效果.结果 心理干预组治疗后BDI（13.5±7.2）和HAMD（17.3±3.8）量表评分均明显低于对照组（21.5±5.2,23.2±4.2）,差异有统计学意义（P＜0.01）;且心理干预组患者的再次复发率11.43％（4/35）明显低于对照组31.43％（11/35）,差异有统计学意义（P＜0.01）.结论 心理干预能明显提高抑郁症的治疗效果,促进患者康复.

Objective To explore the effect of psychological intervention to the treatment effect of patients with depression. Methods 70 patients with depression were randomly divided into the psychotherapy group and control group with 35 cases in each group. The control group adopted routine antidepressant treatment. The psychotherapy group was given strengthened psychological intervention based upon routine antidepressant treatment. One year later, BDI and HAMD were used to evaluate the effect. Results One year later, the scores of BDI （13.5± 7.2）, HAMD （17.3 ±3.8） scales of the psychotherapy group were significant lower than those of the control group （21.5± 5.2, 23.2 ± 4.2, P 〈 0.01）. The recurrence rate of psychotherapy group （11.43%） was significantly lower than that of control group （3d.43%, P 〈 0.01）. Conclusion Psychological intervention has positive effect in treatment for patients with depression and can promote their rehabilitation.