摘要
目的探讨认知行为疗法对精神分裂症后抑郁的临床疗效。方法 64例精神分裂症后抑郁患者随机分为两组,即西酞普兰合并认知行为治疗组(研究组,32例)及西酞普兰治疗组(对照组,32例)疗程8周。采用汉密尔顿抑郁量表(HAMD)、阳性和阴性症状量表(PANSS)评定临床疗效。副反应量表(TESS)评定副反应。结果研究组4、6、8周末HAMD评分较对照组显著改善(t=10.15,12.98,14.29;P<0.01);入组前及8周末PANSS总分、各因子评分和TESS评分两组比较无显著性差异(t=0.13,0.36;P>0.05)。结论认知行为治疗能促进精神分裂症后抑郁的康复,提高治疗依从性,更好地适应社会生活。
Objective To explore the clinical effect of cognitive behavioral therapy on post-schizophrenic depression.Methods A total of 64 cases of post-schizophrenic depression patients were randomly divided into two groups,namely citalopram combined cognitive behavioral therapy group（study group,32 cases）and citalopram treatment group（control group,32 cases）treatment 8 weeks.The Hamilton depression scale（HAMD）,the positive and negative symptoms scale（PANSS）were used to assess clinical curative effect.Treatment Emergent Symptom Scale（TESS）was used to assess side effects.Results In 4,6,8 weekend,HAMD scores were significantly improved more（t=10.15,12.98,14.29;P0.01）.There were no significant differences in total score and factors scores of PANSS,TESS score before and after treatments for 8 weeks between two groups（t=0.13,0.36;P0.05）.Conclusion Cognitive behavioral therapy can promote the post-schizophrenic depression rehabilitation,and enhance the treatment compliance,better adapt to social life.
出处
《中国健康心理学杂志》
2013年第7期1014-1015,共2页
China Journal of Health Psychology
