认知-行为及心理支持治疗对老年抑郁症患者的效果

The effect of cognitive-behavioral and psychological support Therapy in elderly patients with depression

目的探讨认知-行为及心理支持治疗对老年抑郁症患者的效果。方法本研究对象为2021年8月~2023年1月入组92例老年抑郁症患者,数字表法随机分为对照组与观察组。对照组采用艾司西酞普兰治疗,观察组在对照组治疗基础上给予认知-行为及心理支持治疗,均治疗8周。治疗前后采用汉密尔顿焦虑,抑郁量表[(HAMA),(HAMD)]评估患者焦虑抑郁情绪,治疗前后采用健康状况问卷(SF-36)评估生活质量。结果两组治疗后HAMA评分以及HAMD评分均较治疗前显著降低,且观察组治疗后两项评分均较对照组更低(P<0.05);两组治疗后SF-36量表各项评分均较治疗前升高,且观察组治疗后情感职能,精神健康,社会功能,活力,总体健康评分均较对照组更高(P<0.05),两组治疗后生理职能,躯体疼痛,生理功能评分差异不显著(P>0.05)。结论认知-行为及心理支持治疗对老年抑郁症患者具有显著的辅助治疗效果,能够降低负性情绪,提高情感,社会功能等生活质量。

Objective To explore the effectiveness of cognitive-behavioral and psychological support therapy as an adjunctive treatment for elderly patients with depression.Methods The subjects of this study were 92 elderly patients with depression from August 2021 to January 2023.Numerical table method was used to divide the group into control and observation groups.The control group was treated with escitalopram,and the observation group was given cognitive-behavioral and psychological support treatment based on the treatment in the control group,both treated for 8 weeks.The Hamilton Anxiety and Depression Inventory[(HAMA),(HAMD)]was used to assess patients'anxiety and depression before and after treatment.The health status questionnaire(SF-36)was used to assess quality of life before and after treatment.Results HAMA scores and HAMD scores were significantly lower in both groups after treatment than before treatment,and both scores were lower in the observation group than in the control group after treatment(P<0.05).The SF-36 scale scores were higher in both groups than before treatment,and the emotional functioning,mental health,social functioning,vitality,and general health scores were higher in the observation group than in the control group after treatment(P<0.05).The differences in physical function,somatic pain,and physical function scores were not significant between the two groups after treatment(P>0.05).Conclusion Cognitive-behavioral and psychological support treatments have significant effects on elderly patients with depression,reducing their negative mood and improving their quality of life.