病耻感干预治疗对抑郁症患者临床康复进程的疗效研究

Study about the clinical effect of stigma intervention on the rehabilitation process for the patients with depression

目的考察病耻感干预治疗对抑郁症患者康复进程的影响,为抑郁症的临床治疗提供参考。方法以400例抑郁症患者为研究对象,随机分为研究组和对照组。对照组接受常规的药物治疗+康复治疗,研究组在接受常规治疗的基础上,给予病耻感干预治疗。治疗期间以SAS、SDS和HAMD等得分改变为评价手段,对两组患者的康复效果进行对比评价。结果干预治疗5、10、20周时,研究组的SDS、SAS、SCL-90以及SRF、COR量表得分均低于对照组,差异有统计学意义(P<0.05或0.01),表明病耻感干预治疗能够有效加快抑郁症患者的康复进程。病耻感的改变与抑郁症状改善间的相关性分析结果显示,病耻感量表得分的改变量与抑郁症状的改善有较好的正相关性(r>0.03),且研究组所表现出的相关性更加显著(r>0.04)。结论病耻感干预治疗可有效加快抑郁症患者的康复进程,值得临床推广应用。

Objective To investigate the clinical effect of stigma intervention on the recovery process for the patients with depression, expect to provide clinical reference for the treatment of depression. Methods All 400 cases patients with depression were the objects for the study, and they were divided into study group and control group randomly. The control group was treated with conventional medical treatment ＋ rehabilitation therapy, and the study group received a stigma intervention based on conventional treatment. In the process of treatment, the score of SAS, SDS and HAMD and others were the indicators for the effect of different treatment program. Results After stigma intervention about 5, 10, 20 weeks, the score of SDS, SAS, SCL-90 and SRF, COR of the study group were lower than control group, and the difference was statistically significant （P 〈0.05 or 0.01）, the results suggested that the stigma intervention could promoted the recovery process for the patients with depression. The results of correlation between the changes of stigma scale scores and depressive symptoms showed positive correlation （r〉 0.03）, and the correlation of study group was more significant than control group （r〉 0.04）. Conclusion Stigma intervention can effectively speed up the rehabilita- tion process of patients with depression, worthy of clinical application.