门诊式与住院式森田疗法辅助治疗抑郁症的对照研究

Control Study on Outpatient and Inpatient Morita Therapy in Depressions

目的：探讨门诊式森田疗法与住院式森田疗法辅助治疗抑郁症的疗效的差异。方法选择来院就诊的抑郁症患者60例，随机分成门诊森田疗法组和住院森田疗法组各30例。门诊森田疗法组接受药物治疗联合门诊式森田疗法，而住院森田疗法组接受药物治疗联合住院式森田疗法，观察8周，再随访3个月。在治疗前、治疗8周末及随访3个月时分别对两组患者实施汉密尔顿抑郁量表（ HAMD）和健康状况调查问卷（ SF-36）来评价患者的抑郁状态和生活质量。结果①治疗8周末及随访3个月时，两组的汉密尔顿量表得分差异均无统计学意义（t＝0．02～1．33，P＞0．05）；②在健康状况调查问卷中，治疗8周末，门诊森田疗法组患者的社会功能（SF）得分低于住院森田疗法组患者，差异有统计学意义（t＝2．19，P＜0．05）；随访3个月时，门诊森田疗法组患者的躯体疼痛（ BP）和精神健康（ MH）两个维度的得分低于住院森田疗法组患者，差异有统计学意义（ t＝2．34，2．41，P＜0．05）。结论门诊式森田疗法与住院式森田疗法相比，在减轻患者抑郁症状的疗效方面无差异，在改善生活质量的疗效方面有差异性，住院式森田疗法优于门诊式森田疗法。

Objective To explore the difference between outpatient and inpatient Morita therapy in depressions .Methods 60 pa-tients with depression were randomly assigned into outpatient Morita therapy group and inpatient Morita therapy group ,30 cases each.The outpatient Morita therapy group received drug treatment and outpatient Morita therapy ,while the inpatient Morita therapy group received drug treatment and inpatient Morita therapy for 8 weeks,then followed up 3 months.Before and after 8-week treatment and follow -up 3-month,two groups were assessed with the Hamilton Depression Scale （HAMD）and Outcomes Study Short -form 36（SF-36）.Results①After 8-week treatment and follow -up 3-month,there were no differences between two groups in the scores of the Hamilton De-pression Scale.②In the Outcomes Study Short -form 36,the score of social functioning of outpatient Morita therapy group was lower than that in inpatient Morita therapy group after 8-week treatment;The scores of body pain and mental health in the outpatient Morita therapy group were lower than inpatient Morita therapy group after follow -up 3-month（P〈0.05）.Conclusion ①There is no difference be-tween inpatient and outpatient Morita therapy in the effectiveness of alleviating the depressive symptoms ②Inpatient Morita therapy is better than outpatient Morita therapy in the effectiveness of improving the quality of life .