人际关系-社会节律与认知行为治疗在抑郁症患者中的临床应用价值

Clinical application value of interpersonal and social rhythm therapy and cognitive behavior therapy in patients with depressive disorder

目的研究人际关系-社会节律治疗(IPSRT)与认知行为治疗(CBT)在抑郁症患者中的临床效果。方法选取2016年3月—2019年3月安徽省阜阳市第三人民医院100例抑郁症患者作为研究对象,采用随机数字表法将其分为观察组(50例)和对照组(50例)。两组均接受药物治疗,观察组在药物治疗基础上行IPSRT与CBT干预。比较两组治疗前后汉密尔顿抑郁量表(HAMD17)、汉密尔顿焦虑量表(HAMA)及简易应对方式量表(SCSQ)评分。结果治疗后,两组HAMD17和HAMA评分低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组SCSQ评分中积极应对评分高于治疗前,消极应对评分低于治疗前;且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,差异有统计学意义(P<0.05)。结论IPSRT与CBT用于抑郁症患者能改善其负性情绪。

Objective To study the clinical efficacy of interpersonal and social rhythm therapy(IPSRT)and cognitive behavior therapy(CBT)in patients with depressive disorder.Methods From March 2016 to March 2019,100 patients with depressive disorder in the Third People’s Hospital of Fuyang,Anhui Province were included as research objects.They were divided into observation group(50 cases)and control group(50 cases)according to the random number table method.Two groups were received drug treatment,and observation group received IPSRT and CBT intervention on the basis of drug treatment.The Hamilton depression scale 17(HAMD17),Hamilton anxiety scale(HAMA)and simplified coping style questionnaire(SCSQ)scores before and after treatment between two groups were compared.Results After treatment,HAMD17 and HAMA scores in two groups were lower than those before treatment,and observation group was lower than control group,and the differences were statistically significant(P<0.05).After treatment,in the SCSQ score,the positive coping score was higher than that before treatment,while the negative coping score was lower than that before treatment;and the positive coping score of observation group was higher than that of control group,while the negative coping score was lower than that of control group,and the differences were statistically significant(P<0.05).Conclusion IPSRT and CBT can improve the negative emotion of patients with depression.