团体人际心理治疗在双相障碍抑郁发作的临床应用

The clinical application of group interpersonal psychotherapy for depressive episodes in bipolar disorder

目的探讨团体人际心理治疗在双相障碍抑郁发作的临床应用方式和应用效果。方法选取2013年5月~2015年5月于我院治疗的双相障碍的患者共150例,随机分为两组,分别为人际心理治疗+基础药物治疗组(A组)和基础药物治疗组(B组),比较两组患者治疗前和治疗后8周的HAMD-17评分、YMRS和WHOQOL_BREF评分以评估人际心理治疗的疗效。结果两组患者的平均病程和教育程度比较差异无统计学意义(P>0.05)。两组患者治疗前的HAMD-17评分差异无统计学意义(P>0.05),治疗8周后A组评分显著低于B组(P<0.05)。两组患者治疗前和治疗8周后的YMRS评分差异无统计学意义(P>0.05),治疗8周后A组WHOQOL_BREF评分显著高于B组,差异具有统计学意义(P<0.05)。结论人际心理治疗在双相障碍抑郁发作的患者中应用有助于减轻患者的抑郁症状,提高生存质量。

Objective To study the clinical applications and effects of group interpersonal psychotherapy for depressive episodes in bipolar disorder.Methods A total of 150 cases with bipolar disorder was selected from May 2013 to May 2015 in our hospital,which randomly divided into two group,the interpersonal psychological treatment ＋ based drug treatment group（group A）and based drug treatment group（group B）.HAMD-17 score,and YMRS and WHOQOL_BREF scores were compared between the two group of patients before treatment and 8 weeks after treatment.Results There were no statistics difference between two group on average course of disease,education degree,HAMD-17 scores and YMRS scores（before treatment and after treatment 8 weeks）（P〉0.05）.After treatment,HAMD-17 score of the A group was significantly lower than that in the B group（P〉0.05）,WHOQOL_BREF score of the A group was significantly higher than that in the B group（P〈0.05）.Conclusion Group interpersonal psychotherapy for depressive episodes in patients with bipolar disorder can help alleviate symptoms of depression,and significantly improve the patient’s quality of life.