团体认知行为治疗对复发性抑郁障碍患者自尊的影响

Comparative study on group cognitive behavioral therapy combined with sertralina in the treatment of recurrent depression

目的研究团体认知行为治疗对复发性抑郁障碍患者自尊水平的影响。方法将68例服用舍曲林的复发性抑郁障碍患者随机分为2组各34例,实验组并用为期8周的团体认知行为治疗。治疗前后分别使用抑郁自评量表(SDS)、缺陷感量表(FIS)和副反应量表(TESS)进行评定。结果 2组治疗结束后患者抑郁情绪均改善,但实验组改善更明显,SDS评分有显著差异(P<0.05);而自尊水平提高,实验组在缺陷感量表的总量表分值和分量表中自尊、社交自信和学习能力分值增加更为显著(P<0.01)。结论团体认知行为治疗合并抗抑郁药可更好提高复发性抑郁障碍患者的自尊水平,更有效改善患者的抑郁症状。

Objective To explore the efficacy of group cognitive-behavioral therapy（G-CBT）in improving self-respect of patients with recurrent depression.Methods A total of 68 patients with recurrent depression were randomly assigned to 8weeks of treatment with G-CBT combined with sertralina（experimental group,n=34）or with sertralina only（control group,n=34）.Clinical efficacy was evaluated by self-rating depression scale（SDS）,the feeling of inadequacy scale（FIS）and treatment emergent symptom scale（TESS）before and after treatment.Results Both two groups had improvement for depressed mood of patients after treatment,experimental group was more remarkable,the scores of SDS was showed significant differences（P〈0.05）.While both groups had improvement for self-respect,the results showed significant differences in the scores of FIS and in the scores increased on self-respect,social self-confidence and learning ability of subscale（P〈0.01）.ConclusionG-CBT combined with antidepressant can more effectively enhance the level of self-respect of patients with recurrent depression and improve the symptom of depression.