对首发抑郁症患者实施认知行为干预的效果观察

摘要

Objective To explore the effect of cognitive behavioral intervention in patients with first -episode depression. Methods 80 patients with first -episodewere randomly divided into observation group and control group, 40 cases in each group. Patients in both groups were received routine treatment and nursing, moreover, patients in observation group were dealing with cognitive behavioral intervention. Using Automatic Thoughts Questionnaire ( ATQ) and Social Supporting Rating Scale ( SSRS) to assess the effect of the intervention. Results The score of three dimension and total scores of SSRS in observation group were higher than that in control group (P<0.01,P<0.05).But the score of ATQ in observation group was lower than that in control group( P<0.01 ). Conclusions Early cognitive behavioral intervention can effectively improvesocial support level of patients with first -episode depression, reduce frequency of the negative automatic thoughts, and it is helpful to reduce disease situation, shorten the course of the disease.%目的：探讨对首发抑郁症患者实施认知行为干预的效果。方法将80例首发抑郁症患者随机分为观察组和对照组，各组40例。两组均进行常规治疗和护理，观察组在此基础上实施认知行为干预。采用社会支持评定量表（SSRS）、自动思维问卷（ATQ），于干预前、干预8周后对两组患者进行效果评定。结果干预8周后，观察组社会支持的3个维度和总分均高于对照组（ P＜0．01，P＜0．05）；负性自动思维问卷评分明显低于对照组（P＜0．01）。结论对首发抑郁症患者作早期的认知行为干预能够提高其社会支持水平，降低负性自动思维的频率，有助于减轻病情，缩短病程。