认知行为治疗联合抗抑郁药改善产后抑郁症患者抑郁症状的疗效分析

Cognitive Behavior Therapy Combined with Antidepressants to Improve Depressive Symptoms in Postpartum Depression Patients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(2)
作者
作者单位

滕州市精神卫生中心 ;

摘要
[目的]探讨分析认知行为治疗联合抗抑郁药改善产后抑郁症患者抑郁症状的疗效。[方法]以2017年4月--2019年5月为时间段,选择我院收治的150例产后抑郁症患者,随机分成2组,各75例。两组患者均给予抗抑郁药治疗,与此同时,研究组配合认知行为治疗。对比观察两组患者治疗前后的抑郁情绪,评价临床疗效,统计不良反应,根据功能失调性状况评定量表(DAS)评价认知结构。[结果]第一,研究组治疗后SDS评分低于对照组,二者比较,有统计学差异(P<0.05);第二,研究组治疗后HAMD评分低于对照组,二者比较有统计学差异(P<0.05);第三,研究组总有效率为96%(72/75),对照组为84%(63/75),研究组明显比对照组高,二者差异有统计学意义(χ2=8.000,P=0.004);第四,研究组4例不良反应,对照组3例不良反应,比较发生率,无统计学差异(χ2=.190,P=0.662);第五,研究组治疗后的DAS评分低于对照组,二者比较,有统计学差异(P<0.05)。[结论]认知行为治疗联合抗抑郁药治疗产后抑郁,可缓解抑郁症状,作用显著,建议推广
Abstract
[Objective] To explore and analyze the effect of cognitive behavioral therapy combined with antidepressants on depressive symptoms in postpartum depression patients. [Methods] From April 2017 to May 2019, 150 patients with postpartum depression were randomly divided into two groups, 75 cases each. Both groups were treated with antidepressants, while the study group was treated with cognitive behavioral therapy. The depressive mood of the two groups before and after treatment was compared and observed, the clinical efficacy was evaluated, the adverse reactions were counted, and the cognitive structure was evaluated according to the dysfunctional status assessment scale (DAS). [Result] Firstly, the SDS score of the study group was lower than that of the control group after treatment, with statistical difference (P < 0.05); secondly, the HAMD score of the study group was lower than that of the control group after treatment, with statistical difference (P < 0.05); thirdly, the total effective rate of the study group was 96% (72/75), and that of the control group was 84% (63/75). There was significant difference between the two groups (χ2=8.000, P=0.004). Fourth, there were 4 adverse reactions in the study group and 3 adverse reactions in the control group. There was no statistical difference in the incidence of adverse reactions (χ2= 190, P=0.662). Fifth, the DAS score of the study group was lower than that of the control group after treatment, and there was statistical difference between the two groups. Difference (P < 0.05). [Conclusion] Cognitive-behavioral therapy combined with antidepressants can relieve postpartum depression symptoms, which has a significant effect and is recommended to be popularized.
关键词
认知行为;抗抑郁药;产后抑郁症;抑郁症状;疗效
KeyWord
cognitive behavior; antidepressants; postpartum depression; depressive symptoms; efficacy
基金项目
页码 297-299
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徐华*. 认知行为治疗联合抗抑郁药改善产后抑郁症患者抑郁症状的疗效分析 [J]. 国际精神病学杂志. 2020; 47; (2). 297 - 299.

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