正念治疗与工娱治疗对抑郁症患者的干预疗效

Invention Curative Effect of Mindfulness-based Therapy and Recreation Therapy on the Patients with Depression

目的评价正念治疗与工娱治疗对抑郁症患者的干预疗效。方法 2014年2月—2016年5月,方便筛选医院收治的抑郁症患者108例,采用随机数字表达法分组,各入组54例。均给予草酸艾司西酞普兰治疗,连续16周。观察组联合正念治疗与工娱治疗,持续16周。对比治疗前后HAMD评分、社会支持量表评分,与临床疗效。结果治疗后,观察组HAMD、消极应对评分分别为(3.1±1.4)分、(1.3±0.5)分低于对照组(7.2±2.4)分、(1.7±0.6)分,观察组主观支持、支持利用度、积极应对分别为(29.6±3.2)分、(8.5±1.9)分、(2.3±0.5)分高于对照组分(27.5±2.8)分、(7.5±2.3)分、(1.8±0.3)分,差异有统计学意义(P<0.05)。观察组痊愈、显效、有效、无效率分别为42.6%、37.0%、18.5%、1.9%,优于对照组25.9%、42.6%、22.2%、9.3%,差异有统计学意义(P<0.05)。结论在药物治疗基础上,联合正念疗法与工娱疗法干预治疗抑郁症,可增进疗效。

Objective To evaluate the curative effect of Mindfulness-based therapy and recreation therapy on the patients with depression. Methods 108 cases of depression patients admitted and treated in our hospital from February 2014 to May 2016 were convenient selected and randomly divided into two groups with 54 cases in each, both groups were treated with oxalic acid escitalopram for consecutive 16 weeks, and the observation group were treated with mindfulness-based therapy and recreation therapy for consecutive 16 weeks, and the HAMD score, social support scale score and clinical curative effect before and after treatment were compared. Results After treatment, the HAMD, negative coping scores in the observation group were lower than those in the control group,[（3.1±1.4）points,（1.3±0.5）points vs（7.2±2.4）points,（1.7±0.6）points],and the subjective support, support utilization rate and active coping scores in the observation group were higher than those in the control group, [（29.6±3.2）points,（8.5±1.9）points,（2.3±0.5）points vs（27.5±2.8）points,（7.5±2.3）points,（1.8±0.3）points],and the differences were statistically significant（P〈0.05）, and the cure rate, markedly effective rate, effective rate and ineffective rate in the observation group were better than those in the control group（42.6%,37.0%,18.5%,1.9% vs 25.9%,42.6%,22.2%,9.3%）, and the differences were statistically significant（P〈0.05）. Conclusion Mindfulness-based therapy and recreation therapy on the basis of the drug treatment can treat the depression and increase the curative effect.