摘要
目的:探讨认知行为团体治疗对住院抑郁症患者的疗效。方法:64例住院抑郁症患者随机分为研究组和对照组各32例。两组均给予盐酸舍曲林治疗,研究组同时接受为期8周,每周1次的认知行为团体治疗。两组分别于入组前及治疗8周接受汉密尔顿抑郁量表(HAMD-17)、汉密尔顿焦虑量表(HAMA)及自动思维问卷(ATQ)的评定;治疗8周后接受团体治疗疗效因子问卷调查。结果:两组HAMD、HAMA及ATQ评分均较治疗前显著降低(P均<0.01),以研究组HAMD、HAMA及ATQ评分显著低于对照组(t=-2.63,-2.93,-2.81;P<0.05或P<0.01)。研究组团体治疗疗效因子中普同性、情绪宣泄、人际学习(获取)、人际学习(付出)、团体凝聚力等因子显著优于对照组(t=11.74,7.18,5.88,6.09,3.39;P均=0.001)。结论:认知行为团体治疗可有效提高住院抑郁症患者的疗效。
Objective：To investigate the efficacy of cognitive-behavioral group therapy in patients with major depression in inpatient department. Method：64 patients with major depression were randomly assigned to 8 weeks of treatment with cognitive-behavioral group therapy combined with sertraline（study group,n=32） or with sertraline only（control group,n=32） .Efficacy was assessed with Hamilton depression rating scale（HAMD-17） ,Hamilton anxiety scale（HAMA） and automatic thoughts questionnaire（ATQ） at the baseline and the end of 8 weeks after treatment.Two groups were also assessed by Yalom＇s therapeutic factors questionnaire at the end of 8 weeks. Results：Both groups had significant improvement with the assessment of HAMD,HAMA and ATQ after 8 week treatment（all P0.01） .However,compared to control group,study group had significant reduction in the scores of HAMD,HAMA and ATQ at the end of the 8 week treatment（t=-2.63,-2.93,- 2.81;P 0.05 or P0.01） . It was suggested the important therapeutic factors were university,catharsis,interpersonal learning（input） ,interpersonal learning（output） and group cohesiveness（t=11.74,7.18,5.88,6.09,3.39;all P=0.001） . Conclusion：Cognitive-behavioral group therapy can augment the efficacy of the treatment in patients with major depression in inpatient department.
出处
《临床精神医学杂志》
2011年第6期398-399,共2页
Journal of Clinical Psychiatry
关键词
抑郁症
认知行为团体治疗
疗效因子
major depression
cognitive-behavioral group therapy
therapeutic factor
