认知行为团体心理治疗联合药物治疗老年抑郁症的效果评价分析

Effectiveness evaluation analysis on cognitive behavioral group psychotherapy combined with drug in treating geriatric depression

目的:探讨认知行为团体心理治疗联合艾司西酞普兰治疗老年抑郁症的临床效果。方法:将80例老年抑郁症患者随机分为对照组和治疗组,对照组给予艾司西酞普兰药物治疗,而治疗组在对照组基础上给予认知行为团体心理治疗;治疗3个月后,比较两组患者的HAMD-17总分、SDSS总分、总有效率及生活质量评分。结果:治疗3个月后,治疗组的HAMD-17总分、SDSS总分均低于对照组(T值分别为4.111和3.638,P<0.01);治疗组的总有效率为95.0%,高于对照组的75.0%(χ~2=6.275,P<0.05);治疗组的躯体功能、心理功能及社会功能得分均明显大于对照组(T值分别为2.684、4.928和5.584,P<0.05)。结论:认知行为团体心理治疗联合艾司西酞普兰治疗老年抑郁症,可有效改善抑郁症状和社会功能,提高临床治疗效果,改善预后生活质量。

Objective To explore the clinical effect of cognitive behavioral group psychotherapy in combination with escitalopram in treating geriatric depression.Methods Totally 80 cases of geriatric depression were randomly assigned into control group and treatment group.The control group was given escitalopram treatment,and the treatment group was added with cognitive behavioral group psychotherapy besides escitalopram.After 3-month treatment,the indexes of HAMD-17 score,SDSS score,total effective rate and life quality score were compared between the two groups.Results After 3-month treatment,the scores of HAMD-17 and SDSS in the treatment group were lower than those in the control group（P〈0.01）.The total effective rate of the treatment group was 95.0%,obviously higher than the control group（75.0%,P〈0.05）.The scores of somatic function,psychological function and social function in the treatment group were much higher than the control group（P〈0.05）.Conclusions Cognitive behavioral group psychotherapy combined with escitalopram in treating geriatric depression could effectively improve depression symptoms and social function,raise clinical curative effect,and improve life quality of prognosis.