团体认知行为治疗对抑郁症的临床疗效的评价

Effect of Group Psychotherapy on the Efficacy of Patients with Depression.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(2)
作者
作者单位

上海康平医院精神科 ;
上海市精神卫生中心 ;

摘要
目的 评价团体认知行为治疗合并抗抑郁药对社区轻度抑郁症的临床疗效。方法 社区轻度抑郁症患者随机分为抗抑郁药物合并团体认知行为治疗(研究组 42例)和抗抑郁药物治疗(对照组 40例),于治疗前、治疗12周及24周评定汉密顿抑郁量表(HAMD-17)、汉密顿焦虑量表(HAMA)及临床疗效总评量表。结果 HAMD-17、HAMA 及CGI总分及各因子时间主效应均存在统计学意义;HAMD-17总分及焦虑/躯体化分及睡眠障碍因子分、HAMA总分及各因子分 及CGI评分组间主效应均存在统计学意义。结论 抗抑郁药物治疗及抗抑郁药物合并团体心理治疗均能有效改善抑郁症状,合并组改善更明显。
Abstract
Abstract】 Objective To study the effect of group psychotherapy on the efficacy of patients with depression.Methods A total of 82 inpatients who had met ICD-10 diagnostic criteria for depression were randomly divided intostudy group(42)andcontrol group(40)foran24weekobservation.Thestudygroupreceivedgrouppsychotherapy (42)andcontrol group(40)foran24weekobservation.Thestudygroupreceivedgrouppsychotherapy 42)andcontrol group(40)foran24weekobservation.Thestudygroupreceivedgrouppsychotherapy )andcontrol group(40)foran24weekobservation.Thestudygroupreceivedgrouppsychotherapy and control group(40)foran24weekobservation.Thestudygroupreceivedgrouppsychotherapy (40)foran24weekobservation.Thestudygroupreceivedgrouppsychotherapy 40)foran24weekobservation.Thestudygroupreceivedgrouppsychotherapy )foran24weekobservation.Thestudygroupreceivedgrouppsychotherapy for an 24 week observation.Thestudygroupreceivedgrouppsychotherapy .Thestudygroupreceivedgrouppsychotherapy The study group received group psychotherapycombined medication,whilethecontrol groupwasonlytreatedwithmedication.HAMD,HAMAandCGIweread- ,whilethecontrol groupwasonlytreatedwithmedication.HAMD,HAMAandCGIweread- while the control group was only treated with medication.HAMD,HAMAandCGIweread- .HAMD,HAMAandCGIweread- HAMD,HAMAandCGIweread- ,HAMAandCGIweread- HAMA and CGI were ad-opted for the evaluation before and after treatment.Results After 24 weeks’treatment,thetotal scoresof HAMD, ,thetotal scoresof HAMD, the total scores of HAMD,HAMA and CGI of two groups were obviously decreased,but thescoreof thestudygroupdecreasedmoresignificantly ,but thescoreof thestudygroupdecreasedmoresignificantly but the score of the study group decreased more significantlythan that of the control group(P < 0.05). ).Conclusion Group psychotherapy can be effective in improving the depres-sion symptoms.
关键词
团体心理治疗;抑郁症;临床疗效
KeyWord
Group psychotherapy;Depression;Efficacy ;Depression;Efficacy Depression;Efficacy ;Efficacy Efficacy
基金项目
页码 256-258
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张少平*,张博元,林佳妮,卢卫红,陈银娣. 团体认知行为治疗对抑郁症的临床疗效的评价 [J]. 国际精神病学杂志. 2016; 43; (2). 256 - 258.

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