盐酸舍曲林片联合认知行为疗法治疗青少年抑郁症的疗效及对认知功能,睡眠状况,自杀意念的影响
The efficacy of sertraline hydrochloride combined with cognitive behavioral therapy in the treatment of adolescent depression and its impact on cognitive function, sleep status, and suicidal ideation
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年，卷(期) |
2024, 51(5) |
| 作者 |
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| 作者单位 |
十堰市中西医结合医院，精神科 ;
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| 摘要 |
【摘要】目的：探讨在青少年抑郁症患者治疗中，选择盐酸舍曲林片联合认知行为疗法的价值，并分析该方案对患者认知、睡眠等多项指标的影响。方法：以EXCEL表格统计2021年1月~2022年12月范围内确诊为抑郁症的110例青少年患者研究，以随机数字表法分2组，一组接受盐酸舍曲林片治疗（对照），一组接受盐酸舍曲林片+认知行为疗法实施治疗（观察）。统计治疗后临床疗效，并就治疗前后认知功能、睡眠状态、自杀意念进行对比。结果：较对照而言，观察组55例患者治疗后统计的临床疗效升高（P<0.05）；观察组统计的治疗后1周、2周、6周蒙特利尔认知评估量表(MoCA)评分升高（P<0.05）；观察组统计的治疗后1周、2周、6周匹兹堡睡眠质量指数(PSQI)评分降低（P<0.05）；观察组统计的治疗后1周、2周、6周自杀态度测评量表(QSA)评分升高（P<0.05）。结论：在青少年抑郁症治疗中选择盐酸舍曲林片联合认知行为疗法的方案可改善其认知功能，减轻抑郁症状对患者睡眠质量的影响，避免其产生自身意念影响自身安全及社会安全。
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| Abstract |
Abstract: Objective: To explore the value of combining sertraline hydrochloride tablets with cognitive behavioral therapy in the treatment of adolescent depression patients, and to analyze the impact of this plan on multiple indicators such as cognition and sleep in patients. Methods: A study of 110 adolescent patients diagnosed with depression from January 2021 to December 2022 was conducted using an Excel spreadsheet. The study was divided into two groups using a random number table method. One group received treatment with sertraline hydrochloride tablets (control) and the other received treatment with sertraline hydrochloride tablets and cognitive behavioral therapy (observation). Calculate the clinical efficacy after treatment and compare cognitive function, sleep status, and suicidal ideation before and after treatment. Results: Compared with the control group, the clinical efficacy of 55 patients in the observation group increased after treatment (P<0.05); The MoCA score in the observation group increased at 1 week, 2 weeks, and 6 weeks after treatment (P<0.05); The PSQI scores of the observation group decreased at 1 week, 2 weeks, and 6 weeks after treatment (P<0.05); The QSA scores of the observation group increased at 1 week, 2 weeks, and 6 weeks after treatment (P<0.05). Conclusion: Choosing the combination of sertraline hydrochloride tablets and cognitive behavioral therapy in the treatment of adolescent depression can improve cognitive function, alleviate the impact of depressive symptoms on sleep quality of patients, and prevent their own thoughts from affecting their own safety and social safety.
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| 关键词 |
关键词：认知行为疗法；青少年；抑郁症；疗效；认知功能；自杀意念；睡眠
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| KeyWord |
Keywords: Cognitive behavioral therapy; teenagers; depression; Efficacy; Cognitive function; Suicide ideation; sleep
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| 基金项目 |
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| 页码 |
1430-1433 |
成加林*.
盐酸舍曲林片联合认知行为疗法治疗青少年抑郁症的疗效及对认知功能,睡眠状况,自杀意念的影响 [J].
国际精神病学杂志.
2024; 51; (5).
1430 - 1433.