积极心理疗法对抑郁症患者心理障碍的效果

目的：探讨积极心理疗法对抑郁症患者心理障碍的治疗效果。方法60例抑郁症患者随机分为研究组（32例）和对照组（28例）。两组均给予盐酸舍曲林治疗和精神科常规护理，对照组接受常规性健康教育和一般性娱疗活动，研究组在此基础上增加积极心理疗法。两组治疗观察时间均为6周，分别于干预前及干预1，2，4，6周后，用汉密尔顿抑郁量表（HAMD）、自动思维问卷（ATQ）、幸福进取者问卷（ HEIQ）评价两组疗效及心理康复效果。结果干预前及干预1，2周后，两组HAMD、ATQ、HEIQ评分比较差异无统计学意义（P＞0．05）。干预4，6周后，研究者组HAMD、ATQ、HEIQ评分均明显优于对照组（t分别为4．13，3．98，4．78，5．43，4．59，5．90；P＜0．01）。两组干预前后比较，研究组HAMD ATQ HEIQ差值均明显高于对照组（t分别为5．64，11．69，9．13；P＜0．01）。结论积极心理疗法能有助于改善抑郁症患者的抑郁情绪，消除负性思维，构建积极的自我概念，提高心理健康水平，对增强抑郁症的疗效，促进心理康复具有积极作用。

Effect of positive psychotherapy on the treatment of psychological disorder among patients with depression

Objective To explore the therapy effect of positive psychotherapy on the treatment of psychological disorder among patients with depression .Methods Totals of 60 patients with depression were divided into the study group （32 patients） and the control group （28 patients） by tossing a coin.The two groups were given sertraline hydrochloride treatment and psychiatric routine nursing , while the control group received regular health education and the general entertainment therapy activity .Besides that , the study group was given positive psychotherapy .The observation time was 6 weeks.Then curative effect and psychological rehabilitation effect of the two groups were evaluated by the Hamilton ’ s Depression Scale （ HAMD） , the Automatic Thoughts Questionnaire （ ATQ） and the Happiness Enterprising Individual Questionnaire （ HEIQ） before the intervention and 1, 2, 4, 6 weeks after the intervention .Results Before therapy and 1, 2 weeks after therapy , the scores of HAMD ATQ and HEIQ in the two groups were not significantly different （P〉0.05）.After 4 and 6 weeks of treatment , the scores of HAMD ATQ and HEIQ in study group were significantly better than those in the control group （t=4.13,3.98,4.78,5.43,4.59,5.90, respectively;P〈0.01）.Comparing before and after the treatment between the two groups, the difference value of HAMD, ATQ and HEIQ in study group were significantly higher than those in control group （t=5.64,11.69,9.13, respectively;P〈0.01）.Conclusions Positive psychotherapy can be conducive to improve depression mood and remove negative thinking , build positive self-concept , improve the level of psychological health .It has a positive effect for reinforcing the curative effect of the patients with depression and promoting psychological rehabilitation .