支持性心理治疗联合艾司西酞普兰对抑郁症患者循环交替模式、社会功能的影响

Effect of Supportive Psychotherapy Combined with Escitalopram on Circulation Alternation Pattern and Social Function in Patients with Depression

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

河南省驻马店市第二人民医院 ;

摘要
分析支持性心理治疗联合艾司西酞普兰对抑郁症患者循环交替模式(CAP)、社会功能的影响。方法 选取2015年6月~2018年7月我院收治的118例抑郁症患者,根据患者选取治疗方案不同分组,各59例。对照组给予艾司西酞普兰治疗,观察组给予支持性心理治疗联合艾司西酞普兰,比较两组优良率、汉密尔顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD-17)、社会功能缺陷筛选量表(SDSS)、简明精神病评定量表(BPRS)评分、血清脑源性神经营养因子(BDNF)水平、CAP时间、CAP率、A1、A2、A3亚型。结果 观察组优良率(88.14%)高于对照组(66.10%)(P<0.05);观察组干预后HAMA、HAMD-17评分低于对照组(P<0.05);观察组干预后SDSS、BPRS评分低于对照组(P<0.05);观察组干预后血清BDNF水平高于对照组(P<0.05);观察组干预后CAP时间、CAP率、A1、A2、A3低于对照组(P<0.05)。结论 支持性心理治疗联合艾司西酞普兰治疗抑郁症,可改善患者焦虑、抑郁情绪,缓解患者临床症状,提高患者社会功能,改善神经元的病理状态,纠正循环交替模式活动,疗效显著。
Abstract
Objective: To analyze the effects of supportive psychotherapy combined with escitalopram on circulatory alternating pattern (CAP) and social function in patients with depression. Methods: From June 2015 to July 2018, 118 patients with depression admitted to our hospital were selected and grouped into 59 cases each according to the treatment plan. The control group was treated with escitalopram, while the observation group was treated with supportive psychotherapy combined with escitalopram. The excellent and good rates, Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD-17), Social Deficiency Screening Scale (SDSS), Brief Psychiatric Rating Scale (BPRS), Serum Brain-derived Neurotrophic Factor (BDNF), CAP Time, CAP rate, A1, A2, A3 subtypes of the two groups were compared. Results: The excellent and good rate of the observation group (88.14%) was higher than that of the control group (66.10%) (P<0.05); the scores of HAMA and HAMD-17 in the observation group were lower than that in the control group (P<0.05); the scores of SDSS and BPRS in the observation group were lower than that in the control group (P<0.05); the level of serum BDNF in the observation group was higher than that in the control group (P<0.05); the time of CAP, CAP rate, A1, A2, A3 in the observation group were lower than that in the control group after the intervention Group B (P < 0.05). Conclusion: Supportive psychotherapy combined with escitalopram in the treatment of depression can improve anxiety and depression, alleviate clinical symptoms, promote social function, improve neuronal pathological state, and correct cyclic alternating mode activities, which has a remarkable effect.
关键词
支持性心理;艾司西酞普兰;循环交替模式;抑郁症;社会功能
KeyWord
Supportive Psychology; Escitalopram; Cyclic Alternation Pattern; Depression; Social Function
基金项目
页码 293-296
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徐开营*. 支持性心理治疗联合艾司西酞普兰对抑郁症患者循环交替模式、社会功能的影响 [J]. 国际精神病学杂志. 2020; 47; (2). 293 - 296.

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