正念认知疗法辅助文拉法辛对抑郁症患者心理状态和生活质量的影响分析

Effect of mindfulness cognitive therapy on venlafaxine in psychological state and quality of life in patients with depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(3)
作者
作者单位

山东省烟台市莱州荣军医院精神科 ;

摘要
目的:探讨正念认知疗法辅助文拉法辛对抑郁症患者心理状态和生活质量的影响。方法:于2018年02月--2019年02月本院接收的100例抑郁症患者,作为本文主要观察对象。通过电脑随机法,将之分组探讨,其中一组予以文拉法辛治疗,作为常规组,另一组采用文拉法辛治疗时辅以正念认知疗法,作为研究组。两组各50例。比较两组临床疗效、生活质量、心理状态、丘脑肾上腺垂体轴激素水平。结果:研究组总体疗效高于常规组,组间差异显著(p<0.05);研究组SF-36生活质量量表各维度评分高于常规组,HAMD抑郁评分低于常规组,组间差异显著(p<0.05);研究组ACTH(促肾上腺皮质激素)、CRH(促肾上腺皮质激素释放激素)、CORT(皮质酮)、Cor(皮质醇)等激素水平均显著低于常规组,组间差异显著(p<0.05)。结论:抑郁症患者采用文拉法辛治疗基础上辅以正念认知疗法,不仅可以改善人体下丘脑肾上腺垂体轴激素水平,而且还可以减轻患者负面情绪,进一步提高患者生活质量,临床效果显著,值得在临床中大力推荐、普及。
Abstract
Objective: To explore the effect of mindfulness cognitive therapy on venlafaxine in patients with depression and quality of life. METHODS: One hundred patients with depression who were admitted to our hospital from February 2018 to February 2019 were the main subjects of this study. They were divided into groups by computer randomization. One group was treated with venlafaxine as a regular group, and the other group was treated with venlafaxine supplemented with mindfulness cognitive therapy as a research group. There were 50 cases in each group. The clinical efficacy, quality of life, mental state, and thalamic adrenal pituitary hormone levels were compared between the two groups. RESULTS: The overall efficacy of the study group was higher than that of the conventional group, and the difference between the groups was significant (p<0.05). The SF-36 quality of life scale of the study group was higher than that of the conventional group, and the HAMD depression score was lower than that of the conventional group. (p<0.05); the levels of ACTH (adrenocorticotropic hormone), CRH (corticotropin releasing hormone), CORT (corticosterone), Cor (cortisol) in the study group were significantly lower than those in the conventional group, and the differences between groups Significant (p < 0.05). Conclusion: The treatment of venlafaxine in patients with depression is supplemented by mindfulness cognitive therapy, which can not only improve the hormone level of the hypothalamic adrenal pituitary axis, but also reduce the negative emotions of patients, further improve the quality of life of patients, and the clinical effect is remarkable. It is worthy of recommendation and popularization in the clinic.
关键词
正念认知疗法;文拉法辛;抑郁症;心理状态;生活质量
KeyWord
mindfulness cognitive therapy; venlafaxine; depression; psychological state; quality of life
基金项目
页码 482-484
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孙军伟*. 正念认知疗法辅助文拉法辛对抑郁症患者心理状态和生活质量的影响分析 [J]. 国际精神病学杂志. 2020; 47; (3). 482 - 484.

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