摘要
目的:观察认知行为疗法(CBT)联合舍曲林药物治疗对抑郁症的临床疗效。方法:抑郁症患者62例,随机分为2组各31例,药物组给予口服抗抑郁药物舍曲林治疗,联合组此基础上联合认知自动思维,列举认知歪曲,改变极端的信念或原则等CBT治疗。治疗前后采用汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)评定临床疗效。结果:治疗4及8周末,2组HAMD及HAMA评分均较治疗前呈下降趋势(P<0.05),但联合组更低于对照组(P<0.05)。治疗后随访8个月,联合组HAMD及HAMA评分仍显著低于药物组(P<0.01)。结论:认知行为疗法可显著提高抑郁症患者的治疗效果,且远期疗效较好。
Objective： To observe the clinical effectiveness of cognitive behavioral therapy（CBT） combined with sertraline in the treatment of depression.Methods：Sixty-two cases of depression were randomly divided into two groups.The drug group was given oral administration of sertraline,and combination group given CBT besides sertraline.Before and after treatment,the Hamilton Depression Scale（HAMD） and Hamilton Anxiety Scale（HAMA） were used to assess the clinical effectiveness.Results：After treatment for 4 and 8 weeks,the HAMD and HAMA scores showed a declined trend as compared with those before treatment（P〈0.05）,and those in the combination group were significantly lower than in the drug group（P〈0.05）.Eight months after treatment HAMD and HAMA scores in the combination group were significantly lower than in the drug group（P〈0.01）.Conclusion：CBT can significantly improve the clinical effectiveness and long-term efficacy of patients with depression.
出处
《中国康复》
2012年第2期102-103,共2页
Chinese Journal of Rehabilitation
关键词
认知行为疗法
舍曲林
抑郁症
cognitive behavior therapy
sertraline
depression
