老年期抑郁障碍整合心理治疗与药物治疗综合干预的疗效

The effectiveness of integrated intervention with psychotherapy and drug therapy for senile depression

目的:探索老年抑郁障碍整合心理治疗模式,为老年抑郁障碍快速恢复社会功能,提高治愈率提供科学依据。方法:采用老年期抑郁量表对365例老年抑郁障碍患者进行筛查,将符合ICD-10抑郁症诊断标准的120例进行前期宣教,采取自愿入组的方式随机分组。开展整合心理治疗加药物治疗为实验组,单纯抗抑郁药物治疗为对照组,最后用HAMD量表和GWB评估治疗效果,用SPSS19.0软件统计分析。结果:治疗后2周实验组HAMD评分较治疗前差异有统计学意义(P<0.05)。在经过为期12周的治疗干预,实验组的GWB与治疗前比较差异有统计学意义(P<0.01),而对照组治疗前后差异无统计学意义(P>0.05)。结论:整合心理治疗与药物的综合干预对治疗老年期抑郁障碍更具有推广意义。

Objective: To explore the effectiveness of integrated psychotherapy for senile depressive disorder so as to promote rapid recovery of social function and cure rate of the elderly patients with depression. Methods: There were 365 senile depressive disorder patients who were screened by using the old age Depression Scale, of whom 120 cases who met the diagnostic criteria of ICD-10 depression were pre-identified and randomly grouped in the form of voluntary group. Integrated psychotherapy plus drug therapy (experimental group) and simple antidepressant treatment (control group) were carried out. HAMD and GWB were used to assess the status, with statistical analysis by spss19.0. Results: After the 2-week treatment in the experimental group and the control group, there was significant difference in HAMD score reduction rate between the two groups. In the 2nd week after integrated psychotherapy was added to the experimental group, there was obvious difference in subtraction, compared with the control group. After 12 weeks of treatment with comprehensive intervention in both groups, the overall happiness index was significantly different from that before treatment (P<0.01) in the experimental group, but not in the control group. Conclusion: Integrated psychotherapy and comprehensive intervention of drugs are more effective in the treatment of senile depressive disorder.