舍曲林联合认知行为治疗对产妇产后抑郁症的影响研究

Effect of sertraline combined with cognitive behavioral therapy on postpartum depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(1)
作者
作者单位

河南科技大学第一附属医院产科 ;

摘要
[摘要]目的:分析产妇产后抑郁症(PPD)接受舍曲林联合认知行为治疗的效果。方法:将2018年11月—2020年11月接诊且行舍曲林治疗的46例PPD产妇作为对照组,将同期接诊且在对照组基础上加用认知行为治疗的46例PPD产妇作为观察组,对组间睡眠质量、认知功能、产后抑郁状态、社会功能、临床疗效展开分析。结果:(1)组间睡眠质量在治疗前无明显差异,P>0.05;治疗后观察组睡眠质量评分更高,P<0.05;(2)组间认知功能、产后抑郁状态、社会功能评分在产后14d时无明显差异,P>0.05;观察组产后42d、产后3个月时的认知功能、产后抑郁状态、社会功能评分均优于对照组,P<0.05;(3)观察组3例无效(6.52%),对照组10例无效(21.74%),P<0.05。结论:对PPD产妇实施舍曲林+认知行为治疗,可以改善产妇睡眠质量、抑郁状态、认知及社会功能,疗效显著,值得推广。
Abstract
[Abstract] Objective: to analyze the effect of sertraline combined with cognitive behavioral therapy on postpartum depression (PPD). Methods: from November 2018 to November 2020, 46 cases of PPD puerpera who received sertraline treatment were selected as the control group, and 46 cases of PPD puerpera who received sertraline treatment on the basis of the control group were selected as the observation group. Results: (1) there was no significant difference in sleep quality between the two groups before treatment, P> 0.05; after treatment, the sleep quality score of the observation group was higher, P<0.05; (2) there was no significant difference in cognitive function, postpartum depression state and social function score between the two groups at 14 days postpartum, P>0.05; the cognitive function, postpartum depression state and social function score of the observation group at 42 days postpartum and 3 months postpartum were better than those of the control group (3) 3 cases in the observation group were invalid (6.52%), 10 cases in the control group were invalid (21.74%), P<0.05. Conclusion: Sertraline plus cognitive behavior therapy can improve the sleep quality, depression, cognitive and social function of PPD puerpera, and has significant effect, which is worthy of promotion.
关键词
关键词:舍曲林;认知行为治疗;产妇;产后抑郁症
KeyWord
Key words: sertraline; cognitive behavioral therapy; puerpera; postpartum depression
基金项目
页码 79-82
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贾源君*. 舍曲林联合认知行为治疗对产妇产后抑郁症的影响研究 [J]. 国际精神病学杂志. 2022; 49; (1). 79 - 82.

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