认知行为治疗对社区抑郁症患者残留症状的影响

摘要

目的：探讨认知行为治疗对社区抑郁症患者残留症状的影响。方法将社区中伴有残留症状的抑郁症患者60例随机分为研究组（30例）和对照组（30例）。两组均常规应用抗抑郁药物治疗，研究组在此基础上联合认知行为治疗。所有患者均随访1年。两组治疗前后采用汉密尔顿抑郁量表（HAMD）、世界卫生组织生存质量测定量表简表（WHOQOL-BREF）进行评定。结果研究组治疗后1年末 HAMD 评分较治疗前降低（P ＜0．01），研究组 HAMD 评分低于对照组（P ＜0．01）。研究组治疗后1年末 WHOQOL-BREF 量表中生理领域、心理领域、社会关系领域评分均较治疗前降低（P ＜0．01）；研究组 WHOQOL-BREF 量表中生理领域、心理领域、社会关系领域评分均高于对照组（P ＜0．01）。结论认知行为治疗能够缓解社区抑郁症患者残留症状，并能改善其生活质量。%Objective To explore the effect of cognitive behavior therapy on the residual symptoms of depressive patients in community.Methods 60 depressive patients with residual symptoms were randomly divided into study group (30 cases)treated with antidepressants combined with cognitive behavior therapy and control group (30 cases)treated with antidepressants.All the patients were followed up for 12 months and were assessed with Hamilton Depression Scale (HAMD)and WHO quality of life-BREF (WHOQOL-BREF)at baseline and at the end of the follow-up.Results At the end of the 1-year follow up,score of HAMD in study group decreased significantly when compared with the baseline (P <0.01)and was significantly lower than that in control group (P <0.01).Factor scores of physical,psychological and social domain in WHOQOL-BREF at the end of the follow up in study group were significantly lower than those at baseline (P <0.01)and were significantly higher than those in control group at the endpoint (P <0.01 ).Conclusion Cognitive behavior therapy can relieve the residual symptoms and improve the quality of life of depressive patients in community.