自信训练对抑郁症患者心理状态的影响

目的:研究自信训练对抑郁症患者心理状态的影响。方法:采用成组病例对照研究法,选择在我院心理科住院的抑郁症患者68例,按入院顺序随机分为训练组和对照组,每组各34例,在常规治疗及护理的同时,训练组患者加用每周二次的自信训练,疗程为8周,分别于训练前和训练8周后用症状自评量表(SCL-90)和焦虑、抑郁自评量表进行测评,并观察两组患者的治疗效果,用自制问卷调查表评定抑郁症相关知识掌握情况。对两组患者随访6个月,比较两组患者出院后的复发情况。结果:训练组患者经自信训练后SCL-90总分及各因子分及焦虑、抑郁评分均下降,与治疗前相比差异有统计学意义(P<0.05)。8周末训练组患者知识掌握情况评分为(26.23±2.07)分,对照组为(21.10±3.12)分,两组比较差异有统计学意义(t=7.98,P<0.01);训练组患者病情复发5例,对照组复发13例,两组比较差异有统计学意义(x2=4.84,P<0.05)。结论:自信训练可减轻抑郁症患者的心理压力,促进康复,降低疾病复发率。

Study on effect of self-confidence training on mental state in patientswith depressive disorders

ObjectiveTo investigate effect of self-confidence training on mental state in patients with depressive disorders.Methods：A case-control study using a group method was performed, wherein 68 inpatients with depressive disorders in psychologicaldepartment were divided into training group （n=34） and control group （n=34） randomly. All patients were given routine treatmentand those patients in training group were given the self-confidence training for 8 weeks. Symptom checklist （SCL-90）, anxiety anddepression self-rating scale were used for evaluation mental state and treatment effect. Self-assessment questionnaires were used for e-valuation knowledge level related to depressive disorders between the two groups. Recurrences of the two groups, which were followedup for 6 months after discharge, were compared. Results： After the self-confidence training, the SCL-90 total scores, factor scores,anxiety and depression scores of training group were less than those before the treatment （P〈0. 05）. After 8 weeks, the difference inthe knowledge level scores between training group （26. 23±2. 07） and control group （21. 10±3. 12） was significant （t = 7. 98, P〈0. 01）. 5 patients in training group and 13 patients in control group had relapsed, and the difference was significant （x2 =4. 84, P〈0. 05）. Conclusions： The self-confidence training could reduce psychological stress in the patients with depressive disorders, improverehabilitation and reduce the rate of disease recurrence.