艾司西酞普兰联合认知行为治疗抑郁症临床探讨

Clinical study of escitalopram combined with cognitive behavioral therapy for depression

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

河南省濮阳安阳地区医院神经内科 ;

摘要
目的:探讨艾司西酞普兰联合认知行为治疗抑郁症的临床效果。方法:此次研究是在2017年1月-2019年3月我院收治的抑郁症患者中选择76例为对象,随机法将76例对象分成两组:对照组38例患者采用艾司西酞普兰治疗,观察组38例患者采用艾司西酞普兰+认知行为治疗,比较两组的HAMD和WHOQOL评分在干预前后出现的变化。结果:干预2-6个月观察组的HAMD评分从(17.34±0.70)分降低到(12.58±0.62)分,对照组的HAMD评分从(19.60±0.52)分降低到(15.98±0.31)分,可见观察组的HAMD评分的降低程度比对照组优,P<0.05;干预3-6个月两组的WHOQOL量表各内容评分均见升高,观察组的生理评分从(21.63±1.94)分升高到(23.08±0.75)分,心理评分从(23.01±1.52)分升高到(25.90±0.47)分,社会关系评分从(21.09±3.57)分升高到(23.46±0.48)分,环境评分从(13.06±1.24)分升高到(15.05±0.43)分,对照组的生理评分从(17.10±1.54)分升高到(18.90±0.41)分,心理评分从(18.04±1.67)分升高到(19.02±0.43)分,社会关系评分从(17.58±3.42)分升高到(19.11±0.72)分,环境评分从(11.73±1.50)分升高到(12.37±0.19)分,可见观察组的WHOQOL评分升高程度比对照组优,P<0.05。结论:抑郁症患者接受艾司西酞普兰治疗的同时,用认知行为辅助治疗的作用明显,能够加强患者抑郁程度的减轻,对患者的生理、心理、社会关系、环境等方面均有着积极的改善作用,可提高患者的生存质量。
Abstract
objective: to explore the clinical effect of escitalopram combined with cognitive behavioral therapy in the treatment of depression. Methods: the study in January of 2017-2019 of the depression patients in our hospital in March 76 as an object, object of random method, 76 patients divided into two groups: the control group of 38 cases were treated by ai citalopram treatment, observation group of 38 patients with escitalopram citalopram + cognitive behavioral therapy, compared two groups of HAMD and WHOQOL score changes before and after the intervention. Results: HAMD score of the observation group decreased from (17.34±0.70) to (12.58±0.62) after 2-6 months of intervention, while that of the control group decreased from (19.60±0.52) to (15.98±0.31), suggesting that HAMD score of the observation group decreased better than that of the control group (P < 0.05). The WHOQOL scale scores of the two groups were increased from 21.63±1.94 to 23.08±0.75, from 23.01±1.52 to 25.90±0.47, from 21.09±3.57 to 23.46±0.48, and from 13.06±1.24 to 15.05±0.43. The physiological score of the control group increased from (17.10±1.54) to (18.90±0.41), the psychological score increased from (18.04±1.67) to (19.02±0.43), the social relationship score increased from (17.58±3.42) to (19.11±0.72), and the environmental score increased from (11.73±1.50) to (12.37±0.19), indicating that the WHOQOL score of the observation group increased better than that of the control group, P < 0.05. Conclusion: when patients with depression receive the treatment of escitalopram, the use of cognitive behavioral therapy has obvious effects, can enhance the depression degree of patients to reduce, has a positive effect on patients physiology, psychology, social relations, environment and other aspects, can improve the quality of life of patients.
关键词
抑郁症;艾司西酞普兰;认知行为;效果
KeyWord
depression; Escitalopram; Cognitive behavior; The effect
基金项目
页码 489-491
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李俊青*. 艾司西酞普兰联合认知行为治疗抑郁症临床探讨 [J]. 国际精神病学杂志. 2020; 47; (3). 489 - 491.

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