成长小组模式对青年首发抑郁症患者认知障碍的影响

Effect of growth group model on cognitive disorder in young patients with first -episode depression

目的：探讨成长小组模式对青年首发抑郁症患者认知障碍的影响。方法将112例青年首发抑郁症患者按入院先后顺序分为对照组和干预组，对照组实施常规干预，干预组引入成长小组模式。比较两组17项汉密尔顿抑郁量表（HAMD-17）和重复性成套神经心理状态测试（RBANS）评分。结果干预后干预组 HAMD-17得分低于对照组[（10．09±2．87）分比（12．42±3．29）分]，差异有统计学意义（t ＝3．994，P ＝0．001）；干预组 RBANS 得分高于对照组[（449．71±73．85）分比（420．62±69．37）分]，差异有统计学意义（t ＝2．149，P ＝0．034）。结论成长小组模式能够减轻青年首发抑郁症患者的认知障碍。

Objective To discuss the effect of growth group model on cognitive disorder in young patients with first -episode depression.Methods According to the order of admission,112 young patients with first -episode depression were divided into control group and intervention group,56 cases in each group.The control group adopted routine intervention,while the intervention group adopted intervention based on growth group model.The scores of 17 Hamilton depression scale（HAMD -17）and repeatable battery for the assessment of neuropsychological status （RBANS）between the two groups were compared.Results After intervention,the score of HAMD -17 of the intervention group was lower than that of the control group[（10.09 ±2.87）points vs.（12.42 ±3.29）points],the difference was statistically significant（t =3.994,P =0.001）.The score of RBANS of the intervention group was higher than that of the control group[（449.71 ±73.85）points vs.（420.62 ±69.37）points],the difference was statistically significant（t =2.149,P =0.034）.Conclusion The intervention based on growth group model can reduce the cognitive disorder level of young patients with first -episode depression.