团体认知干预对恶性肿瘤终末期抑郁患者的干预分析

Analysis on the Intervention of Group Cognitive Intervention on Patients with Endstage Depression in Malignant Tumors

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(5)
作者
作者单位

北京市隆福医院 康复科 ;

摘要
【摘要】目的:探讨恶性肿瘤终末期抑郁患者患者开展团体认知干预对其心理情绪、心理韧性的影响。方法:于2021年1月-2022年12月采集病例资料入档,对象为医收治的恶性肿瘤终末期抑郁患者,共计纳入83例,纳入对象基于“随机数字表法”分组,划分为对照组(纳入41例,开展常规干预)与观察组(纳入42例,开展团体认知干预);观察对比两组抑郁程度、心理韧性、应对方式、生存质量。结果:干预后,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均有不同程度降幅,且观察组降幅较对照组大(P<0.05);干预后,两组心理弹性量表(CD-RISC)评分均升高,其中观察组更高(P<0.05);干预后两组应对方式均发生明显改善,观察组屈服、回避评分低于对照组,面对评分高于对照组(P<0.05);干预后,两组健康领域状态、功能领域评分均高于同组干预前,症状领域、单一项目评分均低于同组干预前,且观察组各项评分优于对照组(P<0.05)。结论:恶性肿瘤终末期抑郁患者开展团体认知干预,可有效改善患者焦虑抑郁状态,提高心理韧性,改善睡眠质量,取得良好预后。
Abstract
[Abstract] Objective: To explore the influence of group cognitive intervention on the psychological emotion and psychological resilience of patients with terminal depression of malignant tumor. Method: Case data were collected from January 2021 to December 2022 and included in the file. The subjects were end-stage depression patients with malignant tumors who were admitted to the hospital. A total of 83 cases were included, and the participants were divided into a control group (41 cases included, with routine intervention) and an observation group (42 cases included, with group cognitive intervention) based on the "random number table method"; The depression degree, psychological resilience, coping style and quality of life of the two groups were observed and compared. Result: After intervention, the scores of the Self Rating Anxiety Scale (SAS) and Self Rating Depression Scale (SDS) in both groups decreased to varying degrees, and the observed group showed a greater decrease than the control group (P<0.05); After intervention, the scores of the psychological resilience scale (CD-RISC) increased in both groups, with the observation group having a higher score (P<0.05); After intervention, both groups showed significant improvement in coping styles. The observation group had lower scores for submission and avoidance than the control group, while the face to face score was higher than the control group (P<0.05); After intervention, the scores of health status and functional areas in both groups were higher than before the same group intervention, while the scores of symptom areas and single items were lower than before the same group intervention. Moreover, the scores of the observation group were better than those of the control group (P<0.05). Conclusion: Group cognitive intervention in patients with terminal depression of malignant tumor can effectively improve their anxiety and depression, enhance psychological resilience, improve their sleep quality, and achieve a good prognosis.
关键词
【关键词】团体认知干预;恶性肿瘤;终末期;抑郁
KeyWord
Keywords: Group cognitive intervention; Malignant tumors; End stage; depressed
基金项目
页码 1568-1570
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苗笛*. 团体认知干预对恶性肿瘤终末期抑郁患者的干预分析 [J]. 国际精神病学杂志. 2024; 51; (5). 1568 - 1570.

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