认知行为干预对抑郁症患者防御方式的影响

目的：探讨认知行为干预对抑郁症患者防御方式的影响．方法以住院抑郁症患者为研究对象，共入组146例，按照入组顺序分为研究组和对照组．研究组采用认知行为干预，对照组采用抑郁症常规护理．采用汉密顿抑郁量表（HAMD）、汉密顿焦虑量表（HAMA）、简易应对方式问卷（SCSQ），防御方式问卷（DSQ）评估抑郁症患者的症状改变和防御方式变化．结果研究组掩饰型因子分、积极应对分干预前后差异有统计学意义（P＜0.05）；第6周研究组和对照组间掩饰型因子分、积极应对分差异有统计学意义（P＜0.05）；干预前后2组HAMD、HAMA评分差异均有统计学意义（＜0.05）；HAMD分与积极应对因子分成负相关（P＜0.05），与掩饰型防御方式成正相关（P＜0.05），HAMA分与掩饰型防御方式成正相关（P＜0.05）．结论认知行为干预可以改善抑郁症患者抑郁焦虑症状及其防御方式．

Influence of Cognitive Behavioral Intervention on the Defense Style of Patients with Depression

Objective To explore the effect of cognitive behavior intervention on the defense style of patients with depression. Methods One hundred and forty-six patients with depression in hospitalized were divided into study group and control group according to the set sequence. The study group and the control group were given cognitive behavioral intervention and routine nursing, respectively. All patients were assessed by Hamilton depression scale （HAMD）, Hamilton anxiety scale （HAMA）, Simplified Coping Style Questionnaire （SCSQ）, and Defense Style Questionnaire （DSQ） . Results The differences of conceal type and positive coping factor were significantly before and after intervention in the study group （ P〈 0.05） . In the 6th week, the differences of conceal type and positive coping factor were significantly between the two groups （P 〈 0.05） . The differences of HAMD and HAMA scores were significantly between the 0 th and 6 th weeks of the two groups （ P〈0.05） . There was negatively correlated between HAMD and positive coping factor （ P〈0.05） . There were positively correlated between HAMD and the cover up defense mode （ P〈0.05）,HAMA and the cover up defense mode （ P〈0.05） . Conclusion The cognitive behavior intervention could improve the depression and anxiety symptoms and defense style in patients with depression.