认知疗法对精神分裂症后抑郁的效果观察

Effect of Cognitive Therapy on Post-schizophrenic Depression

目的观察认知疗法对精神分裂症后抑郁的效果。方法选择2012年5月—2013年3月在我院精神科住院的精神分裂症后抑郁患者90例,将其随机分为研究组和对照组,各45例。两组均给予常规治疗及护理,研究组应用认知疗法,观察周期均为8周。治疗前后分别使用汉密尔顿抑郁量表(HAMD)进行评分,评定患者服药依从性。结果治疗后研究组HAMD评分低于对照组(t=5.16,P<0.01),研究组服药依从性优于对照组(P<0.05)。结论认知疗法能改善患者精神分裂症后抑郁症状,提高患者服药依从性。

Objective To investigate the effect of cognitive therapy on post - schizophrenic depression. Methods 90 patients with post -schizophrenic depression admitted to our hospital between May 2012 and March 2013 were randomly divided into study group and the control group, 45 cases in each. Both groups were given conventional treatment and care, the study group accepted cognitive therapy additionally, both groups observed for 8 weeks. Hamilton Depression Scale （HAMD） was used before and after treatment and medication compliance assessed. Results After treatment, the HAMD score in study group was lower than that of control group （ t = 5.16, P 〈 0.01 ）, the medication compliance in study group was better than that of control group （P 〈 0. 05 ）. Conclusion Cognitive therapy can improve depression emotion and medication compliance in pa- tients with post - schizophrenic depression.