网络静观认知团体治疗改善首发抑郁症患者的情绪、心理弹性和睡眠质量的研究

  目的  探索网络静观认知团体治疗对首发抑郁症患者抑郁、焦虑、心理弹性和睡眠质量的影响。  方法  选择2020年1月—2021年9月于杭州市第七人民医院就诊的84例首发抑郁症患者，根据随机数字表法分为对照组(药物治疗，40例)和干预组(药物+网络静观团体治疗，44例)。观察2组8周治疗后抑郁评分、焦虑评分、心理弹性评分和睡眠质量评分变化。  结果  经过8周治疗后，2组抑郁评分、焦虑评分、心理弹性评分、睡眠质量评分均较治疗前改善(均P＜0.001)，治疗后组间比较发现干预组抑郁评分(5.84±3.50)分]、焦虑评分(8.07±2.65)分]、心理弹性评分(80.68±6.66)分]和睡眠质量评分(5.93±1.87)分]均优于对照组(9.38±4.54)分、(11.23±4.88)分、(72.28±5.29)分、(7.73±2.03)分，均P＜0.001]。患者基线抑郁评分与心理弹性评分呈负相关(r=-0.747, P＜0.001)，与睡眠质量评分呈正相关(r=0.892, P＜0.001)。  结论  网络静观认知团体治疗可缓解首发抑郁症患者抑郁、焦虑情绪，提高心理弹性，改善睡眠质量。 

Improvement of mood,psychological resilience and sleep quality in patients with first-episode depression by networked mindfulness-based cognitive group therapy

  Objective  To explore the effects of networked mindfulness-based cognitive group therapy on depression, anxiety, psychological resilience levels and sleep quality in patients with first-episode depression.  Methods  Eighty-four patients with first-episode depression who attended the Hangzhou Seventh People ' s Hospital from January 2020 to September 2021 were selected and randomly divided into a control group (conventional medication, n=40) and an intervention group (medication+networked mindfulness-based cognitive group therapy, n=44) according to a random number table. Changes in depression, anxiety, psychological resilience and sleep quality were explored in the two groups after 8 weeks of treatment.  Results  After 8 weeks of treatment, the scores of depression, anxiety, psychological resilience scores and sleep quality significantly improved in both the control and intervention groups compared with those before the treatment (each P < 0.001). Comparison between groups after treatment revealed that the scores of depression, anxiety, psychological resilience scores and sleep quality in the intervention group (5.84±3.50) points, (8.07±2.65) points, (80.68±6.66) points, (5.93±1.87) points] were better than those in the control group (9.38±4.54) points, (11.23±4.88) points, (72.28±5.29) points, (7.73±2.03) points, all P < 0.001]. The scores of depression at baseline were negatively correlated with their psychological resilience scores (r=-0.747, P < 0.001) and positively correlated with their sleep quality scores (r=0.892, P < 0.001).  Conclusion  Networked mindfulness-based cognitive group therapy can alleviate depression and anxiety, increase psychological resilience and improve sleep quality in patients with first-episode depression.