认知行为干预对银屑病伴焦虑、抑郁患者负性情绪的影响
The influence of cognitive behavior intervention on the negative emotion of psoriasis patients with anxiety and depression
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年，卷(期) |
2020, 47(5) |
| 作者 |
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| 作者单位 |
郑州大学第一附属医院 ;
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| 摘要 |
【摘要】 研究认知行为干预对银屑病伴焦虑、抑郁患者负性情绪的影响。方法 选取2017年9月到2018年9月我院收治的120例银屑病患者作为研究对象，按照随机数字表法将其随机分为观察组和对照组，每组60例，对照组给予常规药物及紫外线照射干预，观察组在对照组的基础上给予认知行为干预；比较两组治疗后临床疗效，比较两组治疗前后焦虑自评量表（SAS）、抑郁自评量表（SDS）、皮肤病生活质量指数（DLQI）评分，另比较两组干预期间不良反应发生情况及干预后半年内复发率。结果 观察组临床疗效总有效率为86.67%与对照组75.00%比较，差异无统计学意义（P＞0.05）。观察组干预12周、半年后SAS、SDS评分显著低于干预前及对照组干预12周、半年后，差异有统计学意义（P＜0.05）。观察组干预后自我感知、个人社交、家庭生活评分显著低于干预前及对照组干预后，差异有统计学意义（P＜0.05）。观察组1年内复发率为15.00%显著低于对照组31.67%，差异有统计学意义（P＜0.05）。观察组不良反应总发生率为26.67%，与对照组20.00%比较，差异无统计学意义（P＞0.05）。结论 认知行为干预对减轻银屑病患者焦虑、抑郁等负面情绪有较好效果，且能降低复发率，安全性良好，临床价值较高。
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| Abstract |
【Abstract】 Objective To study the effect of cognitive behavioral intervention on the negative emotion of psoriasis patients with anxiety and depression.Methods 120 psoriasis patients admitted to our hospital from September 2017 to September 2018 were selected as the research objects, and they were randomly divided into observation group and control group according to the random number table method, 60 cases in each group,The control group was given conventional drugs and ultraviolet radiation intervention, and the observation group was given cognitive behavioral intervention on the basis of the control group;The self rating Anxiety Scale (SAS), self rating Depression Scale (SDS) and skin disease quality of life index (DLQI) scores before and after treatment were compared between the two groups, and the recurrence rate and adverse reactions during the intervention within half a year were compared between the two groups.Results The total effective rate of the observation group was 86.67% compared with 75.00% of the control group, there was no significant difference (P > 0.05).The scores of SAS and SDS in the observation group after 12 weeks and half a year of intervention were significantly lower than those before intervention and 12 weeks and half a year after intervention in the control group (P < 0.05).After intervention, the scores of self perception, personal social and family life in the observation group were significantly lower than those before intervention and in the control group (P < 0.05).The recurrence rate of the observation group within one year was 15.00%, compared with 31.67% of the control group, the difference was statistically significant (P < 0.05).The total incidence of adverse reactions in the observation group was 26.67%, compared with 20.00% in the control group, there was no significant difference (P > 0.05).Conclusion Cognitive behavioral intervention has a good effect on reducing the anxiety, depression and other negative emotions of psoriasis patients, and can reduce the recurrence rate, with good safety and high clinical value.
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| 基金项目 |
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| 页码 |
1082-1085 |
朱秋霞*.
认知行为干预对银屑病伴焦虑、抑郁患者负性情绪的影响 [J].
国际精神病学杂志.
2020; 47; (5).
1082 - 1085.