认知心理干预对抑郁症患者的影响

Effects of cognitive psychotherapy on depression patients

目的:探讨认知心理对抑郁症患者的影响。方法:选择70例抑郁症患者为研究对象,随机分为观察组和对照组,每组各35例。两组患者均给予盐酸帕罗西汀联合富马酸喹硫平药物口服治疗12周;观察组患者在此基础上给予认知心理干预。比较治疗前、后,两组患者的汉密顿抑郁量表(HAMD)得分和汉密尔顿焦虑量表得分(HAMA)变化及GQOLI-74生活质量量表评价患者生活质量。结果:治疗后,观察组患者的HAMD、HAMA得分均明显低于对照组(P<0.05),而心理功能与社会功能得分均显著高于对照组水平(P<0.05)。结论:在盐酸帕罗西汀联合富马酸喹硫平药物治疗抑郁症患者的基础上,采用认知心理干预有助于患者的抑郁、焦虑程度和促进其认知功能恢复。

Objective： To explore effects of cognitive psychotherapy on depression patients. Methods： 70 cases of depression were selected and randomly divided into observation group （ n = 35） and control group （ n = 35）. Both groups were treated with Paroxe-tine hydrochloride combined with Quetiapine fumarate for 12 weeks. The observation group was given cognitive psychological intervention treatment at the same time. The Hamilton depression scale （HAMD） score and the Hamilton anxiety scale （HAMA） score were compared before and after the treatment between the two groups, meanwhile, the quality of life of the patients was evaluated by GQOLI -74. Results： After the treatment, the HAMD and HAMA scores of the observation group were significantly lower than those of the control group （P 〈0.05） ; however, the scores of psychological function and social function of the observation group were significantly higher than those of the control group （ P 〈0. 05）. Conclusions： Based on Paroxetine hydrochloride combined with Quetiapine fumarate treatment, the cognitive psychotherapy can effectively improve depression and anxiety degrees in the patients with depression, and promote the recovery of cognitive function.