行为认知疗法在抑郁伴焦虑治疗中的抗焦虑抑郁效果

Antianxiety/depressive effects of behavioral cognitive therapy in the treatment of depression and anxiety

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2025, 52(1)
作者
作者单位

皖南医学院附属太和医院 心身医学科

摘要
【摘要】目的:探讨在抑郁伴焦虑患者治疗中采用行为认知疗法的价值。方法:在2022年1月~2023年10月选择确诊为抑郁伴焦虑的82例患者研究,以随机数字表法分2组,对照组接受米氮平治疗,观察组接受行为认知疗法治疗。分析2组抗焦虑效果、抗抑郁效果,并对比心理状态、睡眠质量。结果:观察组抗抑郁效果高于对照组(P<0.05);抗焦虑效果高于对照组(P<0.05);观察组统计的治疗后2周、4周、8周汉密顿抑郁量表-17(Hamilton Depression Scale,HAMD)评分与汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)评分低于对照组(P<0.05);观察组统计的治疗后2周、4周、8周匹茨堡睡眠质量指数量表(Pittsburgh Sleep Quality Index,PSQI)评分低于对照组(P<0.05)。结论:在抑郁伴焦虑治疗中采用行为认知疗法抗抑郁、抗焦虑效果理想,同时可改善患者睡眠质量。
Abstract
[Abstract] Objective: To explore the value of behavioral cognitive therapy in the treatment of patients with depression and anxiety. Methods: From January 2022 to October 2023, 82 patients diagnosed with depression and anxiety were selected and divided into 2 groups by random number table method. The control group received mirtazapine treatment, and the observation group received behavioral cognitive therapy. The anti-anxiety and anti-depression effects of the two groups were analyzed, and the psychological status and sleep quality were compared. Results: The antidepressant effect of observation group was higher than that of control group (P<0.05). The anti-anxiety effect was higher than that of control group (P<0.05). The scores of Hamilton Depression Scale 17 (HAMD) and Hamilton Anxiety Scale (HAMA) in the observation group were lower than those in the control group at 2, 4 and 8 weeks after treatment (P<0.05); The Pittsburgh Sleep Quality Index (PSQI) scores of the observation group were lower than those of the control group at 2, 4 and 8 weeks after treatment (P<0.05). Conclusion: Behavioral cognitive therapy is effective in the treatment of depression and anxiety, and can improve the sleep quality of patients.
关键词
关键词:米氮平;行为认知疗法;抑郁症;焦虑;心理状态;睡眠质量
KeyWord
Key words: Mirtazapine; Behavioral cognitive therapy; Depression; Anxiety; Mental state; Sleep quality。
基金项目
页码 106-109
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王侠. 行为认知疗法在抑郁伴焦虑治疗中的抗焦虑抑郁效果 [J]. 国际精神病学杂志. 2025; 52; (1). 106 - 109.

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