摘要
目的 探究首发青少年抑郁症患者认知行为治疗联合家庭治疗的有效性.方法 选取某市精神卫生中心2021年10月—2022年10月收治的36例首发青少年抑郁症患者为研究对象,并按照随机分组法分为对照组和实验组,每组18例.其中,实验组应用药物+认知行为+家庭治疗,对照组应用药物治疗.对比患者治疗效果、治疗前后HAMD评分、SCL-90量表抑郁因子评分、症状自评量表评分.结果 实验组总有效率高于对照组(P<0.05);治疗后,实验组HAMD评分、SCL-90量表抑郁因子评分,与对照组相比,差异有统计学意义(P<0.05);治疗后,实验组躯体化评分、强迫症状评分、抑郁评分、人际关系评分、焦虑评分、敌对评分、偏执评分、恐怖评分,均优于对照组,差异有统计学意义(P<0.05).结论 联合认知行为与家庭治疗用于首发青少年抑郁症患者临床治疗中的效果优于单一药物治疗,且能够有效减轻临床症状,值得推广.
Abstract
Objective To explore effect of cognitive-behavioral therapy combined with family therapy for first-time adolescent depression patients.Methods The paper chose 36 first-time adolescent depression patients in a city from October 2021 to October 2022,and divided them into experimental group(18 cases,treated with medication+cognitive behavior+family therapy)and control group(18 cases,treated with medication)randomly.Treatment outcomes,HAMD scores before and after treatment,SCL-90 depression factor scores,and symptom self-assessment scale scores were compared.Results Total effective rate of experimental group(94.44%,17/18)was higher than control group(61.11%,11/18),P<0.05.After treatment,experimental group had HAMD scores of(8.72±2.61)and SCL-90 depression factor scores of(2.19±1.75),with P<0.05.After treatment,somatization scores(1.38±0.31),obsessive-compulsive symptom scores(1.48±0.44),depression scores(1.32±0.24),interpersonal relationship scores(1.54±0.38),anxiety scores(1.51±0.42),hostility scores(1.57±0.43),paranoia scores(1.19±0.51),and terror scores(1.51±0.42)in experimental group were better than control group,with P<0.05.Conclusion Combination of cognitive behavior and family therapy is more effective than single drug therapy in clinical treatment of first-onset adolescent depression patients,can alleviate clinical symptoms effectively,which is worthy of promotion.
基金项目
黄冈职业技术学院2023年度校级科研项目(2023C2012104)
NETL
NSTL
万方数据