内观认知疗法对老年抑郁患者的疗效

The effect of vipassana cognitive therapy on elderly patients with depression

目的探讨内观认知疗法对老年抑郁症患者的干预效果。方法本研究纳入2020年6月~2022年1月我院84例老年抑郁症患者,数字表法随机分为两组。对照组患者采用舍曲林治疗,观察组在舍曲林治疗基础上开展内观认知疗法,两组患者均连续治疗8周。治疗前、后测评焦虑自评量表(SAS)、抑郁自评量表(SDS)、自杀风险评估量表(NGASR)、日常生活能力量表(ADL)。结果两组治疗后SAS评分、SDS评分均较治疗前降低,且干预后观察组显著低于对照组(P<0.05);两组治疗后NGASR评分降低,ADL评分升高,且干预后观察组两项指标优于对照组(P<0.05)。结论内观认知疗法治疗老年抑郁症能够有效降低焦虑、抑郁情绪,并提升生活质量,降低自杀风险。

Objective To explore the intervention effect of Vipassana cognitive therapy on elderly patients with depression.MethodssEighty-four elderly patients with depression in our hospital from June 2020 to January 2022 were selected,and they were divided into two groups according the number table method.The patients in the control group were treated with sertraline,and the patients in the observation group were treated with internal cognitive therapy on the basis of sertraline treatment.Both groups were treated for 8 consecutive weeks.The self-rating anxiety scale(SAS),self-rating depression scale(SDS),the Nurses'Global Assessment of Suicide Risk scale(NGASR),and activities of daily living(ADL)were compared before and afer treatment.Results The SAS and SDS scores of the two groups after treatment were lower than those before treatment,and the observation group was significantly lower than the control group after intervention(P<0.05).Afer treatment,the NGASR score in the two groups decreased,while the ADL score increased,and the two indicators in the observation group were better than those in the control group after intervention(P<0.05).Conclusion Vipassana cognitive therapy in the treatment of senile depression can effectively reduce anxiety and depression,improve the quality of life,and reduce the risk of suicide.