摘要
目的分析经颅磁刺激(transcranial magnetic stimulation,TMS)联合认知行为疗法(cognitive behavior therapy,CBT)对抑郁症伴失语患者语言功能的影响。方法纳入并观察我院在2022年12月—2024年12月期间接受诊治的抑郁症伴失语患者共计80例,按随机数表法将患者分成研究组(实施TMS联合CBT干预,40例)和对照组(实施CBT干预,40例)。记录两组患者汉密尔顿抑郁量表-17(Hamilton Depression Scale-17,HAMD-17)评分、汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)评分、西方失语症成套测验(Western Aphasia Battery,WAB)各项评分及失语商(Aphasia Quotient,AQ)值、日常生活交流能力评定(Communication Activities of Daily Living,CADL)评分。结果相较于干预前,干预后两组HAMD-17、HAMA评分均减少,且研究组评分更低(P<0.05)。相较于干预前,干预后两组自发言语、听觉理解、复述、命名及AQ值均增高,且研究组评分更高(P<0.05)。相较于干预前,干预后两组CADL总分均增高,且研究组评分更高(P<0.05)。结论TMS联合CBT能更有效地改善抑郁症伴失语患者的抑郁焦虑情绪,促进语言功能恢复,并提升日常生活交流能力。
Objective To analyze the effect of transcranial magnetic stimulation(TMS)combined with cognitive behavior therapy(CBT)on the language function of patients with depression accompanied by aphasia.Methods A total of 80 patients with depression accompanied by aphasia who were diagnosed and treated in our hospital from December 2022 to December 2024 were included and observed.The patients were divided into the study group(receiving TMS combined with CBT intervention,40 cases)and the control group(receiving CBT intervention,40 cases)according to the random number table method.Record two sets of Hamilton Depression Scale-17(HAMD-17)scores,Hamilton Anxiety Scale(HAMA)scores,Western Aphasia Battery(WAB)scores,Aphasia Quotient(AQ)values,and Communication Activities of Daily Living(CADL)scores.Results Compared with before the intervention,both groups showed a decrease in HAMD-17 and HAMA scores after the intervention,and the study group had a lower score(P<0.05).Compared with before the intervention,both groups showed an increase in self speech,auditory comprehension,repetition,naming,and AQ values after the intervention,and the study group scored higher(P<0.05).Compared with before the intervention,the total CADL scores of both groups increased after the intervention,and the study group scored higher(P<0.05).Conclusion The combination of TMS and CBT can more effectively improve the depressive and anxious emotions of patients with depression accompanied by aphasia,promote the recovery of language function,and enhance the ability of daily life communication.
作者
刘宇敏
许红
冯志强
LIU Yumin;XU Hong;FENG Zhiqiang(Department of Neurology,Jiangnan University Affiliated Central Hospital,Wuxi 214000,China)
出处
《国际精神病学杂志》
2026年第1期122-125,共4页
Journal Of International Psychiatry
基金
江苏省优势学科建设工程项目(编号:YSHL2205-411)。
关键词
经颅磁刺激
认知行为疗法
抑郁症
失语
语言功能
Transcranial magnetic stimulation
Cognitive behavioral therapy
Depression
Aphasia
Language function
