网络静观认知团体治疗改善首发抑郁症患者的情绪、心理弹性和睡眠质量的研究

Improvement of mood,psychological resilience and sleep quality in patients with first-episode depression by networked mindfulness-based cognitive group therapy

目的 探索网络静观认知团体治疗对首发抑郁症患者抑郁、焦虑、心理弹性和睡眠质量的影响。方法 选择2020年1月-2021年9月于杭州市第七人民医院就诊的84例首发抑郁症患者,根据随机数字表法分为对照组(药物治疗,40例)和干预组(药物+网络静观团体治疗,44例)。观察2组8周治疗后抑郁评分、焦虑评分、心理弹性评分和睡眠质量评分变化。结果 经过8周治疗后,2组抑郁评分、焦虑评分、心理弹性评分、睡眠质量评分均较治疗前改善(均P<0.001),治疗后组间比较发现干预组抑郁评分[(5.84±3.50)分]、焦虑评分[(8.07±2.65)分]、心理弹性评分[(80.68±6.66)分]和睡眠质量评分[(5.93±1.87)分]均优于对照组[(9.38±4.54)分、(11.23±4.88)分、(72.28±5.29)分、(7.73±2.03)分,均P<0.001]。患者基线抑郁评分与心理弹性评分呈负相关(r=-0.747,P<0.001),与睡眠质量评分呈正相关(r=0.892,P<0.001)。结论 网络静观认知团体治疗可缓解首发抑郁症患者抑郁、焦虑情绪,提高心理弹性,改善睡眠质量。

Objective To explore the effects of networked mindfulness-based cognitive group therapy on depression,anxiety,psychological resilience levels and sleep quality in patients with first-episode depression.Methods Eighty-four patients with first-episode depression who attended the Hangzhou Seventh People's Hospital from January 2020 to September 2021 were selected and randomly divided into a control group(conventional medication,n=40)and an intervention group(medication+networked mindfulness-based cognitive group therapy,n=44)according to a random number table.Changes in depression,anxiety,psychological resilience and sleep quality were explored in the two groups after 8 weeks of treatment.Results After 8 weeks of treatment,the scores of depression,anxiety,psychological resilience scores and sleep quality significantly improved in both the control and intervention groups compared with those before the treatment(each P<0.001).Comparison between groups after treatment revealed that the scores of depression,anxiety,psychological resilience scores and sleep quality in the intervention group[(5.84±3.50)points,(8.07±2.65)points,(80.68±6.66)points,(5.93±1.87)points]were better than those in the control group[(9.38±4.54)points,(11.23±4.88)points,(72.28±5.29)points,(7.73±2.03)points,all P<0.001].The scores of depression at baseline were negatively correlated with their psychological resilience scores(r=-0.747,P<0.001)and positively correlated with their sleep quality scores(r=0.892,P<0.001).Conclusion Networked mindfulness-based cognitive group therapy can alleviate depression and anxiety,increase psychological resilience and improve sleep quality in patients with first-episode depression.