结构式团体心理疗法联合社会交往训练在脑卒中后抑郁患者中的应用

Application of structural group psychotherapy combined with social interaction training in patients with post-stroke depression

目的观察结构式团体心理疗法联合社会交往训练在脑卒中后抑郁患者中的应用效果。方法选择2019年1月至6月四川大学华西医院收治的120例脑卒中后抑郁患者为研究对象,依据随机数字表法分为研究组与对照组,每组各60例;对照组实施社会交往训练,研究组在对照组基础上实施结构式团体心理疗法,两组连续干预8周;比较两组干预前、干预8周后心理状态[采用抑郁自评量表(SDS)、焦虑自评量表(SAS)评估]、社会功能[采用精神障碍患者社会功能缺损评定量表(SSFD-MD)评估]。结果干预8周,两组SDS、SAS评分低于干预前,且研究组低于对照组(P<0.05);两组SSFD-MD中社会参与、家庭生活、自我照料、与人相处、理解与交流评分均高于干预前,且研究组高于对照组(P<0.05)。结论结构式团体心理疗法联合社会交往训练可减轻脑卒中后抑郁患者抑郁、焦虑情绪,提高患者社会功能。

Objective To observe the application effect of structural group psychotherapy combined with social interaction training in patients with post-stroke depression.Methods A total of 120 patients with post-stroke depression treated in West China Hospital Sichuan University from January to June 2019 were selected as the research subject,they were divided into study group and control group by a random number table method,with 60 cases in each group;the control group received social communication training,and the study group received structured group psychotherapy on the basis of the control group,both groups received continuous intervention for eight weeks;the psychological status(self-rating Depression scale[SDS],self-rating anxiety scale[SAS]),and social function(scale of social function deficit for mantal disorders[SSFD-MD])of the two groups were analyzed and compared before intervention and eight weeks after intervention.Results After eight weeks of intervention,SDS and SAS scores of both groups were lower than those before intervention,and the study group was lower than the control group(P<0.05);eight weeks after intervention,the scores of social participation,family life,self-care,getting along with others,understanding and communication in SSFD-MD of both groups were higher than those before intervention,and the study group was higher than the control group(P<0.05).Conclusion Structural group psychotherapy combined with social interaction training can reduce the depression and anxiety of patients with post-stroke depression,and improve their social function.