认知行为疗法对2型糖尿病合并抑郁和焦虑的疗效分析

Cognitive Behavior Therapy for Type 2 Diabetes Mellitus Complicated with Depression and Anxiety

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(6)
作者
作者单位

南昌爱尔眼科医院 ;

摘要
目的:分析针对2型糖尿病合并抑郁和焦虑患者应用认知行为疗法的临床疗效。方法:选取2型糖尿病合并抑郁和焦虑的患者80例作为研究对象,均于2018年7月-2019年7月期间本院收治。并按照不同治疗方案进行分组,就对照组(常规药物治疗,n=40)与实验组(常规药物治疗+认知行为疗法,n=40)患者干预前后的抑郁和焦虑水平进行优劣对比,并对患者SAS、SDS评分以及FPG、PG2h等血糖指标进行检测对比。结果:干预前,两组抑郁和焦虑水平、空腹血糖及餐后2小时血糖、糖化血红蛋白(HbA1C)均无显著差异(P>0.05);干预后,实验组SAS、SDS评分及FPG、PG2h、HbA1C各项指标相比干预前均有明显改善,且实验组患者各项血糖水平抑郁和焦虑评分明显低于对照组,实验组积极应对方式明显高于对照组(P<0.05)。结论:应用认知行为疗法对2型糖尿病患者的抑郁和焦虑等不良心理情绪具有良好改善作用,可有效控制糖尿病患者血糖指标水平。
Abstract
Objective: To analyze the clinical effect of cognitive behavioral therapy on type 2 diabetes mellitus patients with depression and anxiety. Methods: 80 patients with type 2 diabetes mellitus complicated with depression and anxiety were selected as the study subjects, all of them were admitted to our hospital from July 2018 to July 2019. The depression and anxiety levels of the control group (routine drug therapy, n = 40) and the experimental group (routine drug therapy + cognitive behavioral therapy, n = 40) before and after intervention were compared, and the SAS, SDS scores, FPG, PG2h and other blood sugar indicators of the patients were tested and compared. Results: Before intervention, there were no significant differences in depression and anxiety level, fasting blood glucose, 2-hour postprandial blood glucose and glycosylated hemoglobin (HbA1C) between the two groups (P > 0.05); after intervention, SAS, SDS scores and FPG, PG2h, HbA1C indexes of the experimental group were significantly improved compared with those before intervention, and the blood glucose levels of the experimental group were depressed. The score of positive coping style in the experimental group was significantly higher than that in the control group (P < 0.05). CONCLUSION: Cognitive behavioral therapy can improve the depression and anxiety of type 2 diabetic patients, and can effectively control the blood sugar level of diabetic patients.
关键词
2型糖尿病;认知行为疗法;抑郁;焦虑;血糖指标水平
KeyWord
type 2 diabetes mellitus; cognitive behavioral thertype 2 diabetes mellitus; cognitive behavioral therapy; depression; anxiety; blood sugar index levelapy; depression; anxiety; blood sugar index level
基金项目
页码 1099-1101
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张伟*. 认知行为疗法对2型糖尿病合并抑郁和焦虑的疗效分析 [J]. 国际精神病学杂志. 2019; 46; (6). 1099 - 1101.

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