个体化全病程干预对伴精神病性症状的抑郁症患者康复疗效的影响

The effective of individualized whole course intervention in depression patients with psychotic symptoms.

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

上海市浦东新区南汇精神卫生中心 ;
上海市精神卫生中心 ;

摘要
目的 了解个体化全病程干预对伴精神病性症状抑郁患者的疗效及预后的影响。方法 将符合入组标准的81例伴精神病性症状的抑郁患者随机分为研究组与对照组(研究组39例,对照组42例),研究组实施个体化全病程干预,对照组进行常规治疗及随访,分别于入组时,治疗3个月后、6个月后、1年后进行评估比较,采用简明精神病量表(BPRS)、汉密尔顿抑郁量表(HAMD)、生活质量综合评定问卷(GQOLI-74)及治疗副反应量表(TESS)作为评定工具。结果 两组患者入组时简明精神病量表(BPRS)、汉密尔顿抑郁量表(HAMD)、生活质量综合评定问卷(GQOLI-74)及治疗副反应量表(TESS)评分比较均无明显差异(P >0.05);在治疗3月、6月、1年后两组间各量表评分的差异均有统计学意义(P <0.05和P <0.01)。结论 个体化全病程干预能够有效缓解伴精神病性症状抑郁症患者的病情,能有效提高患者的社会功能、健康状况及生活质量,提高患者服药依从性及再就业率,降低复发率。
Abstract
Abstract】Objective To research curative effect of individual whole course intervention indepression patientswith psychotic symptoms. Methods 81 patients with psychotic symptoms of depression were divided into research group(n =39)andcontrol group( )andcontrol group( and control group(n =42),andthenthepatientsinresearchgroupweregiventhewholecourseinterven- ),andthenthepatientsinresearchgroupweregiventhewholecourseinterven- and then the patients in research group were given the whole course interven-tion while the control group with conventional treatment. After that,Brief PsychiatricRatingScale(BPRS),Hamilton ,Brief PsychiatricRatingScale(BPRS),Hamilton Brief Psychiatric Rating Scale(BPRS),Hamilton (BPRS),Hamilton BPRS),Hamilton ),Hamilton HamiltonDepression Scale(HAMD),general qualityof lifeinventory(GQOLI-74)andTreatment Emergent SymptomScale (HAMD),general qualityof lifeinventory(GQOLI-74)andTreatment Emergent SymptomScale HAMD),general qualityof lifeinventory(GQOLI-74)andTreatment Emergent SymptomScale ),general qualityof lifeinventory(GQOLI-74)andTreatment Emergent SymptomScale general quality of life inventory(GQOLI-74)andTreatment Emergent SymptomScale (GQOLI-74)andTreatment Emergent SymptomScale GQOLI-74)andTreatment Emergent SymptomScale )andTreatment Emergent SymptomScale and Treatment Emergent Symptom Scale(TESS)wereusedtoevaluatethetherapeuticeffectoftwogroupsincourseoftreatmentofthebeginning,3months,6 TESS)wereusedtoevaluatethetherapeuticeffectoftwogroupsincourseoftreatmentofthebeginning,3months,6 )wereusedtoevaluatethetherapeuticeffectoftwogroupsincourseoftreatmentofthebeginning,3months,6 were used to evaluate the therapeutic effect of two groups in course of treatment of the beginning,3months,6 ,3months,6 3 months,6 ,6months and 1 year,respectively. ,respectively. respectively. Results The score of two groups in(BPRS),(HAMD),(GQOLI-74)andshowedno (BPRS),(HAMD),(GQOLI-74)andshowedno BPRS),(HAMD),(GQOLI-74)andshowedno ),(HAMD),(GQOLI-74)andshowedno HAMD),(GQOLI-74)andshowedno ),(GQOLI-74)andshowedno GQOLI-74)andshowedno )andshowedno and showed noobvious differences(P >0.05)intheverybeginning,but afterthree,six,and1yearof treatment. Thescorebetween )intheverybeginning,but afterthree,six,and1yearof treatment. Thescorebetween in the very beginning,but afterthree,six,and1yearof treatment. Thescorebetween ,but afterthree,six,and1yearof treatment. Thescorebetween but after three,six,and1yearof treatment. Thescorebetween ,six,and1yearof treatment. Thescorebetween six,and1yearof treatment. Thescorebetween ,and1yearof treatment. Thescorebetween and 1 year of treatment. The score betweenthe two groups in each scale had a significant(P <0.05)andaobviousdifference( )andaobviousdifference( and a obvious difference(P <0.01). ). Conclusions Individual-ized whole course intervention can effectively relieve the symptoms in depression patients with psychotic,improvethe ,improvethe improve thepatients social function,healthstatus,qualityoflife,themedicationcomplianceandreemploymentrate,reducethe ,healthstatus,qualityoflife,themedicationcomplianceandreemploymentrate,reducethe health status,qualityoflife,themedicationcomplianceandreemploymentrate,reducethe ,qualityoflife,themedicationcomplianceandreemploymentrate,reducethe quality of life,themedicationcomplianceandreemploymentrate,reducethe ,themedicationcomplianceandreemploymentrate,reducethe the medication compliance and reemployment rate,reducethe ,reducethe reduce therecurrence rate.
关键词
全病程干预;精神病性症状;抑郁症;疗效
KeyWord
Whole course intervention;Psychoticsymptoms;Depression;Curativeeffect
基金项目
页码 252-255
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潘丽红*,王继军,王海华,姚琳. 个体化全病程干预对伴精神病性症状的抑郁症患者康复疗效的影响 [J]. 国际精神病学杂志. 2016; 43; (2). 252 - 255.

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