认知行为疗法改善抑郁症患者社会功能及自我接纳的疗效观察

目的探讨认知行为疗法在改善抑郁症患者社会功能和自我接纳行为的应用效果。方法2015年3月至8月抑郁症患者60例随机分为观察组（n=30）和对照组（n=30），观察组给予抗抑郁治疗的同时进行认知行为干预，对照组仪给予抗抑郁治疗及一般护理，干预时间为8周。在干预前后，采用精神病人社会功能评定量表（SSPI）和自我接纳问卷进行评估。结果两组入组时社会功能和自我接纳评分差异无统计学意义（P〉0．05）。干预8周后，观察组日常生活能力、动性和交往情况、社会技能、自我评价、自我接纳均明显高于对照组（t=2．56、3．17、2．01、3．22、3．94、6．05，P〈0．05）。结论认知行为疗法能够改善抑郁症患者的社会功能，提高患者的自我接纳水平，较好的辅助抗抑郁药物的治疗。

Objective To explore the effect of cognitive behavior therapy in improving the social function and self acceptance behavior of depression patients. Methods 60 depression patients from December 2014 to April 2015 were randomly divided into the observation group and the control group, the control group was treated with anti depression treatment, the observation group was given cognitive behavior intervention based on the control group, the intervention time was 8 weeks. The two groups were compared of the social function and self acceptance ability. The social fimcfion of the patients was assessed by the social function of the mental patients, and the self acceptance was evaluated by the self acceptance questionnaire. Results There was no statistical significance in the social function and self acceptance of the two groups before the intervention （ P〉0.05 ） . The scores of daily living skills, social skills and social skills in the observation group were significantly higher than the control group after 8 weeks, the difference was significant （ t=2.56, 3.17, 2.01, 3.22, 3.94, 6.05, P〈0.05 ） . Self evaluation, self acceptance and total score after 8 weeks in the observation group were higher than that in the control group, the difference was statistically significant （ P〈0.05 ） . Conclusion Cognitive behavioral therapy can improve the social function and self acceptance of depression patients, and it is very good for the treatrnent of anti depression drugs.