首页|简短认知行为疗法对青少年抑郁障碍患者服药依从性的影响

简短认知行为疗法对青少年抑郁障碍患者服药依从性的影响

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目的 探讨简短认知行为疗法(BCBT)对青少年抑郁障碍患者服药依从性的影响.方法 选取2018年12月至2022年10月惠州市第二人民医院收治的43例青少年抑郁障碍患者为研究对象,均在接受抗抑郁药物治疗的基础上予心理干预,其中接受BCBT 21例(BCBT组),心理教育22例(对照组).比较两组患者心理干预前后Morisky服药依从性量表8条目版(MMAS-8)、汉密尔顿抑郁量表24条目版(HAMD-24)评分以及服药依从性系数.结果 BCBT组患者心理干预前后MMAS-8评分差值以及服药依从性系数均明显高于对照组,差异均有统计学意义(均P<0.05).两组患者心理干预后HAMD-24评分均明显下降,差异均有统计学意义(均P<0.05);两组间干预前、后比较差异均无统计学意义(均P>0.05).结论 BCBT能有效提高青少年抑郁障碍患者服药依从性,改善抑郁症状.
Effects of brief cognitive behavioral therapy on medication adherence in adolescent patients with depressive disorder
Objective To study the effects of brief cognitive behavioral therapy(BCBT)on medication adherence in adolescent patients with depressive disorder.Methods Forty-three adolescent patients with depressive disorder admitted to the Second People's Hospital of Huizhou from December 2018 to October 2022 were selected as the research subjects.All cases accepted psychological intervention on the basis of antidepressant drug treatment,including 21 cases accepting BCBT(BCBT group)and 22 cases accepting psychological education(control group).The Morisky medication adherence scale-8(MMAS-8)scores,the coefficient of medication adherence,and Hamilton depression rating scale-24(HAMD-24)scores between the two groups of patients before and after psychological intervention were compared.Results The diffe-rence in MMAS-8 scores of patients in the BCBT group before and after psychological intervention and the coefficient of medication adherence were statistically significantly higher than those in the control group(both P<0.05).HAMD-24 scores of patients in two groups both decreased significantly after psychological intervention(both P<0.05).There were no statistically significant differences between the two groups no matter before and after the intervention(all P>0.05).Conclusion BCBT can effectively improve medication adherence and reduce depressive symptoms of adolescent patients with depressive disorder.

Brief cognitive behavioral therapyDepressive disorderAdolescentMedication adherence

李晓萍、解方舟、曾伦、杨乃艳、梁健聪、张燕婷、顾晨龙

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516001 惠州市第二人民医院精神科

合肥幼儿师范高等专科学校大学生心理健康教育中心

516001 惠州市第二人民医院睡眠心理科

脑功能与心身医学研究所

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简短认知行为疗法 抑郁障碍 青少年 服药依从性

广东省医学科学技术研究基金项目惠州市市级科技计划项目

A20223332019C0604011

2024

浙江医学
浙江省医学会

浙江医学

CSTPCD
影响因子:0.428
ISSN:1006-2785
年,卷(期):2024.46(1)
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