内观疗法联合森田疗法治疗伴功能性躯体症状抑郁症的疗效观察

Effect observation of Naikan therapy combined with Morita therapy in treatment of patients with depressive disorder with functional somatic symptoms

目的:观察内观疗法联合森田疗法治疗伴功能性躯体症状抑郁症的疗效。方法:选取178例伴功能性躯体症状抑郁症患者作为观察对象,随机分成对照组和观察组各89例。对照组接受内观疗法,观察组在对照组基础上联合森田疗法,治疗时间均为5周。比较两组治疗前后抑郁情况(HAMD-17)、躯体症状严重程度(PHQ-15)及生活质量(SF-12)。结果:治疗后观察组HAMD和PHQ-15评分均明显低于对照组,SF-12量表评分明显高于对照组,差异均有统计学意义(P<0.05)。结论:内观疗法联合森田疗法治疗伴功能性躯体症状抑郁症患者的疗效优于单用内观疗法。

Objective To explore effect of Naikan therapy combined with Morita therapy in treatment of patients with depres-sive disorder with functional somatic symptoms. Methods： A total of 178 patients with depressive disorder with functional somaticsymptoms were selected and randomly divided into Naikan-Morita therapy group （89 cases, observation group） and Naikan therapygroup （89 cases, control group）. The treatment time of two groups was 5 weeks. The patients were evaluated by the 17-item Hamiltondepression rating scale （HAMD-17）, the patient health questionnaire-15（PHQ-15） and the 12-item short form health survey （SF-12） before and after the treatment, and the results of the two groups were compared. Results： After the treatment, the HAMD-17 andPHQ-15 scores of the observation group were significantly lower than those of the control group, the SF-12 score was obviously higherthan that of the control group, and the differences were statistically significant （P〈0. 05）. Conclusions： The Naikan therapy com-bined with Morita therapy in the treatment of the patients with depressive disorder with functional somatic symptoms is superior to singleNaikan therapy.