首页|短程动力性人际治疗对抑郁障碍疗效的临床研究

短程动力性人际治疗对抑郁障碍疗效的临床研究

扫码查看
目的:评估短程动力性人际治疗(DIT)治疗住院抑郁障碍患者疗效,为今后的临床推广应用提供实证依据.方法:2021年1月1日—6月30日在武汉市精神卫生中心临床确诊为抑郁症的124位患者,按住院号尾数奇偶数分为单纯药物治疗组(对照组)和药物治疗+DIT组(治疗组).收集患者一般人口学资料,并对比两组患者入组0周、2周、4周、8周、12和16周等时间点HAMD-17、HAMA-14量表等系列评估,动态了解给予干预后抑郁症患者的心理病理变化指标来验证DIT对抑郁症的疗效.结果:两组患者一般资料的差异比较无统计意义(P>0.05).DIT治疗16周后,与对照组比较,治疗组痊愈率和总有效率显著增高(均P<0.05),无效率显著降低(P<0.05).与对照组比较,治疗组DIT治疗前和治疗2周末HAMD-17及HAMA-14评分与其均无显著性差异,余DIT各治疗时间点HAMD-17评分均显著降低(均P<0.05);与治疗前比较,两组患者治疗后16周末HAMD-17及HAMA-14评分均较治疗前显著降低(均P<0.05).结论:DIT是一种基于动力心理治疗理论基础的团体治疗方案,短程而有效是DIT的优势,更适用于抑郁障碍患者的临床治疗.
A clinical study on the efficacy of short-course dynamic interpersonal therapy for depressive disorder
Objective:To evaluate the efficacy of short-course dynamic interpersonal therapy(DIT)in the treatment of hospitalized patients with depression disorder,and to provide empirical evidence for fu-ture clinical application.Methods:From January 1,2021,to June 30,2021,a total of 124 patients clinically diagnosed with depression in Wuhan Mental Health Center were divided into a conventional drug therapy group(control group)and a drug therapy+DIT group(treatment group)according to the odd-even number of hospitalization number.The general clinical data were collected,and scales such as HAMD-17 and HAMA-14 were adopted to evaluate their psychopathological changes before treat-ment and 2,4,8,12,and 16 weeks after treatment.Results:There was no significant difference in general information between the two groups(P>0.05).After 16 weeks of treatment,compared with the control group,the recovery rate and total effective rate of the treatment group were significantly in-creased(all P<0.05),and the ineffective efficiency was significantly decreased(P<0.05).No signifi-cant difference was found in HAMD-17 and HAMA-14 scores between the two groups before treat-ment and two weeks after treatment.And after four weeks treatment,HAMD-17 scores in the DIT treatment group were significantly lower than in the control group(all P<0.05).After treatment,HAMD-17 and HAMA-14 scores in both groups were significantly decreased at the end of 16 weeks(both P<0.05).Conclusion:DIT is a group therapy program based on the theoretical basis of dy-namic psychotherapy,with the advantages of short-range and effectiveness,so it is more suitable for the clinical treatment of patients with depressive disorders.

Short Dynamic Interpersonal TherapyDepressive DisorderHAMD-17 ScoreHAMA-14 Score

任娜、瞿娜、梁迎洁、谭炼红、陈莉、陈程、高云、王鹏

展开 >

武汉市精神卫生中心 湖北 武汉 430012

短程动力性人际治疗 抑郁障碍 HAMD-17评分 HAMA-14评分

武汉市卫生健康委员会资助项目

WX19C28

2024

武汉大学学报(医学版)
武汉大学

武汉大学学报(医学版)

CSTPCD
影响因子:0.959
ISSN:1671-8852
年,卷(期):2024.45(7)
  • 1