认知行为治疗对伴有躯体症状抑郁症患者的疗效分析

Analysis of the effect of cognitive behavior therapy for patients with somatic symptoms and depression

目的探讨认知行为治疗对伴有躯体症状抑郁症患者的临床疗效。方法从我院2012年3月至2014年3月收治的伴有躯体症状抑郁症患者中选取84例进行回顾性分析,随机分为观察组与对照组,每组42例,对照组单行艾司西酞普兰治疗,观察组在对照组基础上结合认知行为治疗,观察两组患者各指标评分情况及精神症状。结果观察组与对照组治疗前及治疗2周后HAMD评分无明显差异(P>0.05),观察组治疗4周后及8周后HAMD评分明显低于对照组(P<0.05),观察组与对照组治疗前SI评分无明显差异(P>0.05),观察组治疗后SI GI及EI评分均明显高于对照组(P<0.05),观察组治疗后物质生活评分与对照组无明显差异(P>0.05),躯体健康、心理健康及社会功能评分明显高于对照组,差异具有统计学意义(P<0.05)。结论在伴有躯体症状抑郁症患者治疗中,在药物治疗基础上采用认知行为治疗,能有效提高治疗效果,改善患者生活质量,值得推广应用。

[Objective]To investigate the clinical efficacy of cognitive behavior therapy on depression with somatic symptoms patients.[Methods]a total of 84 patients were analyzed retrospectively from 2012 March to 2014 March in our hospital were accompanied by somatic symptoms of depression patients, randomly divided into observation group and control group, 42 cases in each group, the control group single escitalopram treatment in the control group, the observation group on the basis of cognitive behavior therapy, to observe the indexes of two groups of patients scores and mental symptoms.[Results]the observation group and the control group before treatment and 2 weeks after treatment, HAMD score had no significant difference（P〉0.05）, the observation group after treatment for 4 weeks and 8 weeks after the HAMD score was significantly lower than that of the control group（P〈0.05）, the observation group and the control group before treatment SI score had no significant difference（P〉0.05） the observation group after treatment, SI, GI and EI score were significantly higher than those in the control group（P〈0.05）, material life score and control groups showed no significant difference in observation group after treatment（P〉0.05）, physical health, psychological health and social function scores were significantly higher than those in the control group, with significant difference（P〈0.05）.[Conclusion]in the treatment of depression with somatic symptoms of patients, in the drug treatment on the basis of using cognitive behavioral therapy, can effectively improve the treatment effect, improve the life quality of patients, it is worthy of popularization and application.