认知行为指导对抑郁症患者照顾者情绪状态及应对方式的影响

Effects of cognitive behavioral guidance on emotional states and coping styles of the caregivers of the depression patients

目的:观察认知行为指导对抑郁症患者照顾者情绪状态及应对方式的影响。方法:选取126例抑郁症患者照顾者作为研究对象,依据随机数字表法分为对照组与观察组各63例,对照组行常规指导,观察组在此基础上实施认知行为指导。比较两组抑郁症患者照顾者的情绪状态及应对方式变化情况。结果:经3个月指导后,观察组汉密顿抑郁量表(HAMD)评分、汉密顿焦虑量表(HAMA)评分均低于对照组,差异有统计学意义(P<0.05)。观察组积极应对评分高于对照组,消极应对评分低于对照组,差异均有统计学意义(P<0.05)。结论:于常规指导基础上开展认知行为指导有助于改善抑郁症患者照顾者的不良情绪,减轻心理负担,促使其积极应对,可以更好的照顾患者,促使患者早日回归家庭和社会。

Objective: To observe effects of cognitive behavioral guidance on emotional states and coping styles of the caregivers of the patients with depression. Methods: 126 caregivers of the patients with depression were selected as the research objects, and were divided into control group(n=63) and observation group(n=63) according to the random number table method. The control group was given routine guidance, while the observation group was given cognitive behavior guidance based on that of the control group. The changes in the emotional state and coping style of the caregivers of the patients with depression were compared between the two groups. Results: 3 months after the guidance, the Hamilton depression scale(HAMD) score and the Hamilton anxiety scale(HAMA) score of the observation group were lower than those of the control group, and the differences were statistically significant(P<0.05). The positive coping score was higher in the observation group than in the control group, the negative coping score was lower in the observation group that in the control group, and the differences were statistically significant(P<0.05).. Conclusions: Cognitive behavioral guidance based on the routine guidance can help to improve the emotional states of the caregivers of the patients with depression, reduce their psychological burden, and promote their positive response. Then, they can better take care of the patients and promptly return them to their families and society.