康复指导联合心理治疗对抑郁发作症状及社会功能的影响

Effects of rehabilitation guidance combined with psychotherapy on Depressive episode symptoms and social function

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(3)
作者
作者单位

重庆市精神卫生中心 ;

摘要
【摘要】目的:探讨康复指导联合心理治疗对抑郁发作症状及社会功能的影响。方法:选取我院2014年8月至2016年3月的116例抑郁发作患者进行干预,根据治疗方法不同分为实验组和对照组各58例,对照组采用常规药物治疗,实验组在对照组的基础上采用康复指导联合心理治疗,为期7周。在治疗前后,采用汉密顿抑郁量表(HAMD)评分和汉密顿焦虑量表(HAMA)评估患者的情绪症状;采用生活质量核心量表(QOL-30 ) 评估患者的生活质量;采用个人和社会功能量表(PSP) 评估患者的社会功能。结果:治疗后实验组的HAMD评分和HAMA评分明显比对照组低,具有统计学意义(p<0.05);试验组的生活质量评分明显优于对照组,具有统计学意义(p<0.05);试验组患者的社会功能评分明显高于对照组,具有统计学意义(P<0.05)。结论:对抑郁发作患者进行康复指导联合心理治疗可以有效改善患者抑郁、焦虑情绪,提高患者的生活质量和社会功能。
Abstract
【Abstract】Objective: To study the effect of rehabilitation guidance combined with psychotherapy on Depressive episode symptoms and social function. Methods: From August 2014 to March 2016, 116 cases of intervention in patients with Depressive episode were selected , according to different intervention methods were divided into experimental group and control group(n=58 cases). The control group used conventional drug therapy to treat, experimental group patients on the basis of the control group gave rehabilitation guidance combined with psychotherapy. Treated was 7 weeks, used Adopted Hamilton Depressive episode scale (HAMD) scores and Hamilton anxiety scale (HAMA) to evaluate patients symptoms; used Adopted core scale of quality of life (QOL - 30) to evaluate the quality of life of patients. used the Personal and Social function scale (Personal and Social Performance, PSP) to evaluate the Social function of the patients. Results: After treatment, the HAMD score and HAMA score of experimental group was obviously lower than the control group, with statistical significance (P < 0.05); The quality of life score in experimental group was better than control group, with statistical significance (P < 0.05); The social function of the experimental group patients score was significantly higher than the control group, with statistical significance (P < 0.05). Conclusion: Rehabilitation guidance combined with psychotherapy in patients with Depressive episode can effectively improve the patients mental state, improve the patients quality of life and social functions.
关键词
【关键词】抑郁发作;心理治疗;康复指导;抑郁;生活质量
KeyWord
【Key words】Depressive episode; Psychological treatment; Rehabilitation instruction; Depression; Quality of life
基金项目
页码 534-537
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杨玉冰,王祖菊*. 康复指导联合心理治疗对抑郁发作症状及社会功能的影响 [J]. 国际精神病学杂志. 2018; 45; (3). 534 - 537.

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