抑郁症患者认知行为疗法联合康复治疗的效果分析

Analysis of the effect of cognitive behavioral therapy along with rehabilitation therapy in patients with depression

目的探讨认知行为疗法联合家庭康复治疗对于改善抑郁症患者的效果。方法选取2016年2月至2017年1月海南省人民医院收治的抑郁症患者70例,按照随机数字表法随机分成对照组和观察组,每组35例。对照组患者予以认知行为疗法进行治疗,观察组患者在予以认知行为疗法的基础上联合予以家庭康复治疗。干预治疗12个月后,分别对两组患者的心理状态、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(sey-rating depression scale,SDS)、汉密尔顿量表(Hamilton depression scale,HAMD)评分低于对照组患者,差异有统计学意义(t=-5.202、-3.617,P均<0.05);观察组患者的“解决问题”、“求助”条目得分高于对照组患者,而“回避”、“自责”条目得分低于对照组患者,差异均有统计学意义(t=7.572、7.905、-6.582、-7.714,P<0.05);观察组患者的服药依从性优于对照组患者,差异有统计学意义(χ^2=7.263,P<0.05)。结论采取认知行为疗法联合家庭康复治疗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 along with family rehabilitation therapy in patients with depression.Methods Seventy patients with depression admitted to Hainan Provincial People′s Hospital from February 2016to January 2017were selected and randomly divided into the control group(35cases)and the observation group(35cases)based on the random number table method.Patients in the control group only received cognitive behavioral therapy,while those in the observation group received cognitive behavioral therapy along with family rehabilitation therapy.After 12months intervention,the psychological status,responsive style and medication compliance of the two groups were compared.Results After the intervention,The SDS and HAMD scores of patients in the observation group were significantly lower than that of those in the control group,and the differences were statistically significant(t=-5.202,-3.617,P<0.05).In the observation group,the scores of“solving problems”and“asking for help”were significantly higher than that of those in the control group,while the scores of“avoidance”and“self-blame”were significantly lower,the differences were statistically significant(t=7.572,7.905,-6.582,-7.714,P<0.05).Patients in the observation group had much better medication compliance than those in the control group(χ^2=7.263,P<0.05).Conclusions Cognitive behavioral therapy along with family rehabilitation therapy can effectively improve the bad mood of patients with depression,enhance their medication compliance,and achieve better clinical treatment outcomes.