本文選題：抑郁癥　切入點：認(rèn)知治療　出處：《廣州中醫(yī)藥大學(xué)學(xué)報》2014年03期

【摘要】：【目的】觀察短程認(rèn)知心理療法結(jié)合中西藥治療老年抑郁癥的療效,探索針對中國老年抑郁癥群體的有效短程認(rèn)知治療程式。【方法】將71例老年抑郁癥患者分為治療組(中西藥物治療結(jié)合短程認(rèn)知心理治療者)36例及對照組(單用中西藥物治療者)35例,對照組采用西藥氟西汀加中藥治郁3號方(烏藥、枳實、檳榔、荔枝核、菟絲子、枸杞子、郁金、合歡皮、茯苓、遠(yuǎn)志)治療,治療組在對照組基礎(chǔ)上給予每周1次短程認(rèn)知心理治療,并于第5周開始日記式三欄技術(shù)應(yīng)用實踐。2組均于入組時(治療前)和治療2、4、6、8周末及半年后(6個月末)隨訪進(jìn)行漢密爾頓抑郁量表(HAMD)評分。【結(jié)果】(1)HAMD量表總分情況:從4周末開始,2組的總分均顯著降低,差異均有統(tǒng)計學(xué)意義(P0.01);且從4周末開始,治療組的降低作用優(yōu)于對照組,組間比較差異有統(tǒng)計學(xué)意義(P0.01)。(2)HAMD量表中焦慮/軀體化、認(rèn)識障礙、阻滯、睡眠障礙、絕望感等各因子評分情況:治療后,2組的HAMD量表各因子評分均有不同程度降低,且治療組的降低作用優(yōu)于對照組,其中焦慮/軀體化因子在8周末、6個月末差異有統(tǒng)計學(xué)意義(P0.05),認(rèn)識障礙因子從2周末開始差異有統(tǒng)計學(xué)意義(P0.05或P0.01),阻滯因子從6個月末開始差異有統(tǒng)計學(xué)意義(P0.05),絕望感因子從4周末開始差異有統(tǒng)計學(xué)意義(P0.05或P0.01)。【結(jié)論】對老年抑郁癥患者,結(jié)合短程認(rèn)知心理療法的治療組與單純中西藥物治療的對照組比較,起效時間無差異,但癥狀緩解程度及半年隨訪的療效均較對照組為佳。
[Abstract]:[objective] to observe the effect of short-term cognitive psychotherapy combined with traditional Chinese and western medicine in the treatment of senile depression. Objective: to explore an effective short-range cognitive therapy program for elderly depression patients in China. [methods] Seventy-one patients with senile depression were divided into treatment group (36 cases treated with Chinese and western medicine combined with short-course cognitive psychotherapy) and control group (single use). 35 cases were treated with Chinese and Western medicine. The control group was treated with western medicine fluoxetine plus traditional Chinese medicine Zhiyu 3 (black medicine, Fructus aurantii, areca nut, litchi seed, dodder seed, Chinese wolfberry fruit, tulip, acacia peel, Poria cocos, Polygala). The treatment group was given short-term cognitive psychotherapy once a week on the basis of the control group. At the 5th week, the diary-type three-column technique was applied in the second group. Group 2 was followed up at the end of 8 weeks and 6 weeks after treatment and half a year after the treatment. [results] the total score of Hamd scale was evaluated. [results] the total score of Hamd scale was evaluated. : from the end of the 4th week, the total scores of the two groups decreased significantly, From the end of the 4th week, the decrease effect of the treatment group was better than that of the control group, and the difference between the two groups was statistically significant. The anxiety / somatization, cognitive disorder, block, sleep disorder in the scale of anxiety / somatization, cognitive disorder, block and sleep disorder were significantly different between the two groups. Scores of factors such as sense of despair: after treatment, the scores of each factor of HAMD scale in the two groups were decreased to some extent, and the effect of the treatment group was better than that of the control group. There were significant differences in anxiety / somatization factor at the end of the 8th week and at the end of 6 months (P 0.05), cognitive impairment factor (P 0.05) and block factor (P 0.05) at the end of 6 weeks. The difference of hopelessness factor from the end of 4 weeks was statistically significant (P 0.05 or P 0.01). [conclusion] in elderly patients with depression, There was no difference in the onset time between the treatment group combined with short-course cognitive psychotherapy and the control group treated with Chinese and western medicine alone, but the degree of symptom relief and the curative effect of half a year follow-up were better than those of the control group.
【作者單位】： 深圳市中醫(yī)院腦病心理科;
【分類號】：R749.4

【參考文獻(xiàn)】

相關(guān)期刊論文 前2條

1 張衛(wèi)東,董海濤,湯玲莉,方琳;上海老年人的心理狀況及精神文化生活[J];中國老年學(xué)雜志;2002年02期

2 劉華清,費立鵬;中國城鄉(xiāng)老年人(1990-1994年)自殺死亡問題分析[J];中國心理衛(wèi)生雜志;1997年01期

【共引文獻(xiàn)】

相關(guān)期刊論文 前10條

1 謝激揚(yáng);;通絡(luò)消郁湯治療老年抑郁癥62例臨床觀察[J];中醫(yī)藥臨床雜志;2007年06期

2 張健平;;神泰片與奧沙西泮聯(lián)合治療酒精所致焦慮綜合征療效觀察[J];中醫(yī)藥臨床雜志;2009年01期

3 張秀梅;;化郁湯治療卒中后抑郁癥臨床觀察[J];中醫(yī)藥臨床雜志;2010年03期

4 萬磊;劉健;盛長健;謝秀麗;;類風(fēng)濕關(guān)節(jié)炎患者肺功能變化及新風(fēng)膠囊對其的影響[J];中醫(yī)藥臨床雜志;2010年09期

5 靳瑜;;自擬調(diào)神達(dá)郁湯治療腦卒中后抑郁癥78例臨床研究[J];中醫(yī)藥臨床雜志;2011年12期

6 李文飛,黃幫良,萬興松,費龍才;“非典”時期鐵道工程一線管理人員心理狀況調(diào)查[J];安徽衛(wèi)生職業(yè)技術(shù)學(xué)院學(xué)報;2003年04期

7 錢麗,王守娥,王敏;術(shù)前護(hù)理干預(yù)對外科手術(shù)患者焦慮心理的影響[J];安徽衛(wèi)生職業(yè)技術(shù)學(xué)院學(xué)報;2005年01期

8 朱紅梅;牛飛;;心理因素對分娩的影響[J];安徽衛(wèi)生職業(yè)技術(shù)學(xué)院學(xué)報;2007年05期

9 金雨來;;腦卒中并發(fā)抑郁患者62例臨床分析[J];安徽衛(wèi)生職業(yè)技術(shù)學(xué)院學(xué)報;2009年02期

10 于愛萍;李培培;張黎明;;合肥市托幼機(jī)構(gòu)教師心理健康狀況調(diào)查[J];安徽預(yù)防醫(yī)學(xué)雜志;2009年04期

相關(guān)會議論文 前10條

1 楊華;;肝癌患者焦慮調(diào)查分析[A];江西省中醫(yī)藥學(xué)會2011年學(xué)術(shù)年會論文集[C];2011年

2 李志剛;;中醫(yī)學(xué)肝脾說的現(xiàn)代化及濕可滯氣和傷氣機(jī)理探析[A];中國中西醫(yī)結(jié)合學(xué)會精神疾病專業(yè)委員會第十一屆學(xué)術(shù)年會論文匯編[C];2012年

3 呂美容;;中西醫(yī)結(jié)合治療抑郁癥19例的療效分析[A];中國中西醫(yī)結(jié)合學(xué)會精神疾病專業(yè)委員會第十一屆學(xué)術(shù)年會論文匯編[C];2012年

4 吳越;于海燕;湯莉;季萍;;安非他酮治療2型糖尿病合并抑郁癥的療效觀察[A];中國中西醫(yī)結(jié)合學(xué)會精神疾病專業(yè)委員會第十一屆學(xué)術(shù)年會論文匯編[C];2012年

5 周夢煜;;舒肝補(bǔ)腎湯合并舍曲林治療老年期抑郁癥40例臨床研究[A];中國中西醫(yī)結(jié)合學(xué)會精神疾病專業(yè)委員會第十一屆學(xué)術(shù)年會論文匯編[C];2012年

6 崔界峰;鄒義壯;王健;陳楠;范宏振;姚晶;段京輝;;加州大學(xué)圣地亞哥分�；谌蝿�(wù)的生活能力測驗簡版的臨床信效度[A];中國中西醫(yī)結(jié)合學(xué)會精神疾病專業(yè)委員會第十一屆學(xué)術(shù)年會論文匯編[C];2012年

7 王妙妙;周玉英;丁皎;陳潔;;開放式管理及康復(fù)訓(xùn)練對慢性精神分裂癥患者康復(fù)的效果分析[A];中國中西醫(yī)結(jié)合學(xué)會精神疾病專業(yè)委員會第十一屆學(xué)術(shù)年會論文匯編[C];2012年

8 楊雀屏;王百靈;張恒;包pせ，

本文編號：1682169