动力性团体治疗对抑郁症患者防御方式影响对照研究

Control study to the influences of defense styles in patients with depression treated with dynamic group treatment

目的探讨动力性团体治疗对抑郁症患者防御方式的影响。方法以住院抑郁症患者为研究对象,共入组64例,将入组病人随机分为研究组和对照组,研究组采用动力性团体治疗合并药物治疗,对照组采用药物治疗及每周1次健康教育。采用汉密顿抑郁量表(HAMD)、防御方式问卷(DSQ)评估抑郁症患者的症状和防御方式变化。结果 HAMD分两组治疗后均显著下降。研究组治疗后掩饰型、不成熟型因子分显著下降,成熟型因子分显著升高,并且均优于对照组;对照组成熟型因子分显著升高,其余因子分无显著改善。结论动力性团体治疗可以改善抑郁症患者抑郁症状及防御方式。

Objective To investigate the influences of defense styles in patients with depression treated with dynamic group treatment. Methods The patients with depression were divided into study group and contral group randomly,the patients in study group were treated with dynamic group treatment and medicinal treatment;those in contral group were treated with medicinal treatment and healthy education. The changes of Symptoms and defense styles in two groups were evaluated by using HAMD and DSQ.Results The scores of HAMD in two groups were decreased significantly after treatment（P〈0.05）,the scores in study group of disguise type and immature type were lowered respectively,the scores of immature type were increased,and which were better than those of control group. The scores in control group of mature type were decreased significantly and others were not improved significantly. Conclusions The dynamic group treatment could improve the depressive symptoms and the defense styles of patients with depression.