心理干预辅助治疗产后抑郁的疗效观察

Effect of psychological intervention in the assistant treatment of postpartum depression

目的探讨心理干预对产后抑郁患者的辅助治疗效果。方法 40例产后抑郁患者随机分为研究组、对照组各20例,研究组除了给予药物治疗外,同时实施家庭干预及合理情绪疗法,对照组单用药物治疗。治疗前和治疗后第4、6、8周及3个月随访分别用汉密尔顿抑郁量表(HAMD17)评定。结果两组治疗后第4、6周末,疗效未见统计学差异;治疗后第8周和3个月后随访,两组疗效差异有显著统计学意义。结论心理干预辅助治疗产后抑郁有更好的远期效果。

[ Objective ] To explore the effect of psychological intervention in the assistant treatment of pastpartum depression. [ Methods ] A total of 40 patients of postpartum depression were randomly divided into the research group（n=20） and the control group（n=20）. The research group implemented family support treatment and rational-emotive therapy in addition to conventional medical treatment and the control group,no special interventions. Efficacies were assessed in pretreatment and post-treatment since the end of the 4th ,6th,Sth of week and the 3th month by HAMD17.T test were used in data anslysis. [ Results ] There was no difference between the 2 groups in the end of the 4th ,6th week.But there was differrnce between the 2 groups since the end of the 8th week and the 3th month followed-up. [ Conclusion ] Psychological intervention has more persistant treatment effect in the assistant treatment of nostDartum depression.