沙盘游戏治疗对抑郁症患者的干预效果评价

Intervention effect of sandplay therapy in patients with depression.

目的探讨沙盘游戏治疗对抑郁症患者的干预效果。方法选取抑郁症患者72例,分为研究组(37例)和对照组(35例),两组患者均常规接受盐酸舍曲林片治疗,研究组在药物治疗基础上接受沙盘游戏治疗,采用抑郁自评量表(SDS)、焦虑自评量表(SAS)及幸福感指数量表(WBIS)评价两组治疗后第4、8、16周末的疗效。结果治疗后第4、8、16周末,两组SDS评分均较基线时降低(P<0.05),研究组SDS评分均低于对照组(P<0.05)。研究组治疗后第4、8、16周末SAS评分均较基线时降低(P<0.05),对照组在治疗后第4周末SAS评分较基线水平降低(P<0.05);治疗后第8、16周末研究组SAS评分低于对照组(P<0.05)。研究组治疗后第8、16周末WBIS评分均较基线时升高(P<0.05),治疗后第4、8、16周末研究组WBIS评分均高于对照组(P<0.05)。结论沙盘游戏治疗能有效改善抑郁患者的抑郁、焦虑症状,提高患者的幸福指数。

Objective To explore the intervention effect of sandplay therapy in patients with depression.Methods A total of 72 patients with depression were selected and assessed with study group(37 cases)treated with routine sertraline hydrochloride tablets combined with sandplay therapy and control group(35 cases)treated with only routine sertraline hydrochloride tablets.They were all assessed with Self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS)and Well-being Index Scale(WBIS)to evaluate the efficacy at the 4th,8th and 16th weekends after treatment.Results At the 4th,8th and 16th weekends after treatment,the total scores of SDS in both groups all decreased significantly compared with those at the baseline(P<0.05),and the total scores of SDS in study group were significantly lower than those in control group(P<0.05).At the 4th,8th and 16th weekends after treatment,the total scores of SAS in study group decreased significantly compared with that at the baseline(P<0.05),and at the 4th weekend after treatment,the total score of SAS in control group decreased significantly compared with that at the baseline(P<0.05).At the 8th and 16th weekends after treatment,the total scores of SAS in study group were significantly lower than those in control group(P<0.05);and the total scores of WBIS in study group increased significantly compared with that at the baseline(P<0.05).At the 4th,8th and 16th weekends after treatment,the total scores of WBIS in study group were all significantly higher than those in control group(P<0.05).Conclusion Sandplay therapy can effectively improve the symptoms of depression and anxiety in patients with depression,and improve the happiness index in patients.