人际心理治疗在双相障碍抑郁发作的临床应用

The clinical application of interpersonal psychotherapy for depressive episodes in bipolar disorder

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(6)
作者
作者单位

兰州市七里河区人民医院精神科 ;

摘要
【摘要】目的:探讨人际心理治疗在双相障碍抑郁发作的临床应用方式和应用效果。方法:选取2013年5月至2015年5月于我院治疗的双相障碍的患者共150例,随机分为两组,分别为人际心理治疗+基础药物治疗组(A组)和基础药物治疗组(B组),比较两组患者治疗前和治疗后8周的HAMD-17评分、YMRS和WHOQOL_BREF评分以评估人际心理治疗的疗效。结果:两组患者的平均患病病程和教育程度比较差异无统计学意义(P>0.05),两组患者治疗前的HAMD-17评分差异无统计学意义(P>0.05),治疗8周后A组评分显著低于B组(P<0.05)。两组患者治疗前和治疗8周后的YMRS评分差异无统计学意义(P>0.05),治疗8周后A组WHOQOL_BREF评分显著高于B组,差异具有统计学意义(P<0.05) 。结论:人际心理治疗在双相障碍抑郁发作的患者中应用有助于患者减轻的抑郁症状,能显著提高患者的生存质量。
Abstract
【Abstract】Objective: To study the clinical applications and effects of interpersonal psychotherapy for depressive episodes in bipolar disorder. Methods: A total of 150 cases were selected from May 2013 to May 2015 in our hospital with the treatment of bipolar disorder, which randomly divided into two group, the interpersonal psychological treatment + based drug treatment group (group A) and based drug treatment group (group B). HAMD-17 score, and YMRS and WHOQOL_BREF score were compared between the two group of patients before treatment and 8 weeks after treatment to analyze the clinical effects of interpersonal psychotherapy. Results: the two group of average course of disease and education degree had no statistics difference (P>0.05). The two group patients had no statistics difference in HAMD-17 score before treatment (P>0.05), while the group A of HAMD-17 score was significantly less than group B (P<0.05). The two group patients of YMRS score before and after treatment for 8 weeks had no statistics difference (P>0.05). the WHOQOL_BREF score of group A was significantly higher than that of group B, which had Statistically difference (P<0.05). Conclusion: Interpersonal psychotherapy for depressive episodes in patients with bipolar disorder can help alleviate symptoms of depression, and significantly improve the patients quality of life.
关键词
关键词:人际心理治疗;双相障碍;抑郁;生存质量。
KeyWord
Key words: Interpersonal psychotherapy; Bipolar disorder; Depression; Quality of life.
基金项目
页码 1015-1017
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陈少峰*,刘义,李树珍. 人际心理治疗在双相障碍抑郁发作的临床应用 [J]. 国际精神病学杂志. 2017; 44; (6). 1015 - 1017.

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