团体认知行为治疗应用于老年抑郁症初探

发布时间：2018-04-23 19:50

本文选题：老年抑郁症 + 团体认知行为治疗　；参考：《上海交通大学学报(医学版)》2017年01期

【摘要】：目的·探讨团体认知行为治疗(GCBT)应用于老年抑郁症患者的疗效,以及适应人群的特征。方法·37例患者进入研究。GCBT分为3个部分,每部分4次治疗,每周治疗1次。完成1个疗程需12周,共12次治疗。在入组前和治疗12周末使用Hamilton抑郁量表(HAMD,17项)、Hamilton焦虑量表(HAMA)、抑郁自评量表(GDS)进行评估。同时比较治疗完成组和脱落组的人口学及临床特征。结果·完成12次GCBT的患者20例。12周末完成治疗组HAMD、HAMA、GDS评分显著低于基线评分。基线时完成治疗组(20例)与脱落组(17例)在年龄、性别、工作类别、疾病严重程度上差异无统计学意义,但完成治疗组的受教育程度高于脱落组。结论·GCBT治疗老年抑郁症患者疗效较好;有一定文化程度的老年患者更适合作为GCBT治疗对象。
[Abstract]:Objective to investigate the efficacy of group cognitive behavior therapy (GCBT) in elderly patients with depression and the characteristics of population adaptation. Methods Thirty-seven patients with GCBT were divided into 3 parts, 4 times per part and once a week. It takes 12 weeks to complete a course of treatment. Before and after 12 weeks of treatment, Hamilton depression scale was used to evaluate 17 items of Hamd and Hamilton anxiety scale and self rating depression scale (GDSs). At the same time, the demographic and clinical characteristics were compared between the complete treatment group and the shedding group. Results at the end of 12 weeks, the Hamd score of 20 patients with 12 GCBT was significantly lower than that of baseline. There were no significant differences in age, sex, type of work and severity of disease between treatment group (n = 20) and shedding group (n = 17), but the education level of treatment group was higher than that of control group. Conclusion GCBT is effective in the treatment of senile depression, and the elderly with certain education level are more suitable for the treatment of GCBT.
【作者单位】：上海交通大学医学院附属精神卫生中心;
【基金】：国家自然科学基金(81671402) 上海市科学技术委员会医学引导项目(15411961400) 上海市精神卫生中心院课题(08-26)~~
【分类号】：R749.4

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