认知行为干预对抑郁症病人应对方式和生存质量的影响

目的]探讨认知行为干预对抑郁症病人应对方式和生存质量的影响.方法]将60例抑郁症病人随机分为试验组（30例）和对照组（30例）,两组病人在药物治疗基础上,试验组参与认知行为干预8周,对照组接受传统护理方法,采用Zung抑郁自评量表（SDS）、汉密顿抑郁量表（HAMD）和简易应对方式问卷（SCSQ）评定病人抑郁状态和应对方式,采用生存质量简表（WHOQOL-BREF）评定生活质量满意度.结果]干预8周后试验组SDS、HAMD评分显著低于对照组（P＜0.01）,积极应对评分显著高于对照组,消极应对评分低于对照组,WHOQOL-BREF评分除环境领域外,心理领域、生理和社会关系3个领域得分明显高于对照组（P＜0.05或P＜0.01）.结论]认知行为干预可以改善病人应对方式和抑郁状态,提高生存质量.

Influence of cognitive behavioral intervention on coping style and quality of life of patients with depression

Objective：To probe into influence of cognitive behavioral intervention on coping style and quality of life of patients with depression.Methods：A total of 60 depression patients were randomly divided into experimental group（30 cases） and control group （30 cases）,based on the drug treatment,the patients in experimental group involved in the cognitive behavioral intervention for 8 weeks,the patients of control group received traditional care.Zung self-rating depression scale （SDS）,the Hamilton depression Scale （HAMD） and simplified coping style questionnaire （SCSQ） were used to assess depression and coping style of patients,BREF （WHOQOL-BREF） was used to assess the quality of life satisfaction degree.Results：SDS,HAMD scores of the experimental group were significantly lower than that of control group （P＜0.01）,positive coping score was significantly higher than that of control group,negative coping score was lower;in addition to the environment,WHOQOL-BREF score in the three areas of psychological field,physiological and social relations were significantly higher than that of control group（P＜0.05 or P＜0.01）.Conclusion：Cognitive behavioral intervention can improve patients＇ coping styles and depression state,and improve their quality of life.