认知行为疗法联合家庭康复干预对改善抑郁症患者效果的影响

Effect of cognitive-behavioral therapy combined with family rehabilitation therapy on improving depression patients

目的 探讨认知行为疗法联合家庭康复干预对改善抑郁症患者效果的影响.方法选取2016年2月至2017年1月海南省安宁医院医学心理科收治的抑郁症患者82例,按照随机数字表法分成对照组和观察组,每组41例.对照组患者给予家庭康复干预,观察组患者在对照组的基础上给予认知行为疗法,干预12个月后,分别对2组患者的治疗有效率、心理状态、应对方式以及服药依从性进行比较.结果 观察组干预后的抑郁自评量表(SDS)、汉密尔顿抑郁量表(HAMD)评分分别为(31.08 ± 4.83)、(14.14 ± 3.52)分,显著低于对照组的(36.97 ± 2.73)、(16.68 ± 2.14 )分,差异有统计学意义(t=-6.789、-3.948,P<0.01).观察组治疗有效率为97.56%(40/41),显著高于对照组的70.05%(32/41),差异有统计学意义(χ2=5.581,P<0.05).观察组"解决问题""求助"条目得分分别为(1.66 ± 0.18)、(1.81 ± 0.21)分,显著高于对照组的(1.39 ± 0.11)、(1.48 ± 0.13)分;"回避""自责"条目得分分别为(1.33 ± 0.12)、(1.47 ± 0.14)分,明显低于对照组的(1.58 ± 0.19)、(1.81 ± 0.22)分,差异均有统计学意义(t=-8.349~8.555,P<0.01).观察组干预后服药依从性明显优于对照组患者,差异有统计学意义(χ2=8.902,P<0.05).结论 采取认知行为疗法联合家庭康复干预对抑郁症患者进行治疗,能够有效改善患者的不良情绪,提高其服药依从性,取得较好的临床治疗效果.

Objective To explore the effect of cognitive-behavioral therapy combined with family rehabilitation therapy on improving depression patients.Methods Totally 82 depressive patients admitted to our hospital from February 2016 to January 2017 were randomly divided into the control group and the observation group according to the random number table method,with 41 cases in each group.Patients in the control group were treated with family rehabilitation therapy,while the patients in the observation group were treated with cognitive behavioral therapy on the basis of family rehabilitation therapy.After 12 months of intervention,the patients in the observation group were treated with cognitive behavioral therapy.The treatment efficiency,psychological status,coping style and medication compliance of the two groups were compared.Results After intervention the scores of Self-rating Depression Scale(SDS)and Hamilton Depression Scale(HAMD)in the observation group were(31.08±4.83),(14.14±3.52)points respectively,which were significantly lower than(36.97±2.73),(16.68±2.14)points of the control group(t=-6.789,-3.948,P<0.01).The effective rate of the observation group was 97.56%(40/41),which was significantly higher than 70.05%(32/41)of the control group,and the difference was statistically significant(χ2=5.581,P<0.05).The scores of"problem solving"and"help seeking"items in the observation group were(1.66±0.18)and(1.81±0.21)respectively,significantly higher than(1.39±0.11),(1.48±0.13)of the control group;"avoidance"and"self-blame"items were(1.33±0.12)and(1.47±0.14)respectively,significantly lower than(1.58±0.19),(1.48±0.13)in the control group,and the difference was statistically significant(t=-8.349-8.555,P<0.05).After treatment,the compliance of the observation group was significantly better than that of the control group(χ2=8.902,P<0.05).Conclusion Cognitive behavioral therapy combined with family rehabilitation therapy for depression patients can effectively improve the bad mood of patients,improve their medication compliance,and achieve better clinical treatment results.