正念认知疗法对抑郁症患者生活质量和社会功能的影响

Influence of mindfulness based cognitive therapy on social function and quality of Life in patients with depressive disorder

目的探讨正念认知疗法(MBCT)对抑郁症患者生活质量和社会功能的影响。方法选取2017年6月~2018年6月我院住院部精神科收治的94例抑郁症患者作为研究对象,根据随机数字表法随机分为干预组与对照组,每组各47例。对照组给予常规治疗,干预组在常规治疗的基础上增加MBCT干预。采用汉密顿抑郁量表(HAMD-17)、个人与社会功能量表(PSP-CHN)和世界卫生组织生存质量测定量表简表(WHOQOL-BREF)分别在干预前、干预8周后进行盲法评估。结果干预组患者干预8周后的HAMD-17评分低于对照组,PSP-CHN高于对照组,差异有统计学意义(P<0.05);干预组患者干预8周后的WHOQOL-BREF各项评分及总分均高于对照组,差异有统计学意义(P<0.05)。结论MBCT能够有效改善抑郁症患者的抑郁症状、提高患者的社会功能和生活质量。

Objective To investigate the influence of mindfulness based cognitive therapy(MBCT)on quality of life and social function in patients with depressive disorder.Methods A total of 94 patients with depressive disorder admitted to psychiatry department of our hospital from June 2017 to June 2018 were selected as the research objects.According to the random number table method,they were randomly divided into the intervention group and the control group,47 cases in each group.The control group was given routine treatment,while the intervention group was given MBCT intervention on the basis of routine treatment.The Hamilton depression scale(HAMD-17),personal and social function scale(PSP-CHN)and World Health Organization quality of life scale-bref(WHOQOL-BREF)were used to evaluate blindly before and after the intervention for 8 weeks.Results The HAMD-17 score of the intervention group after 8 weeks of intervention was lower than that of the control group,and PSP-CHN was higher than that of the control group,with significant difference(P<0.05).The scores and total scores of WHOQOL-BREF of the intervention group after 8 weeks of intervention were higher than those of the control group,with significant difference(P<0.05).Conclusion MBCT can effectively improve depressive symptoms,social function and quality of life in patients with depression.