轻症抑郁患者在团体认知行为治疗后特质应对方式的变化

目的 探讨轻症抑郁患者在团体认知行为治疗后特质应对方式的改善及特质应对方式对团体认知行为治疗的影响.方法 采用前瞻性自身对照设计,对轻症抑郁患者在治疗前后,以及随访期的抑郁症状、焦虑症状和特质应对方式进行比较.结果 共纳入102例患者.与基线时比较,患者的抑郁症状、焦虑症状和特质应对方式在团体认知行为治疗结束后及随访的各个时期均有显著改善(P<0.05).Logistic回归分析显示,基线焦虑症状、消极应对方式及出勤率进入回归方程.结论 团体认知行为治疗能够改善轻症抑郁患者的抑郁焦虑症状及特质应对方式,且能够维持相对较长的时间.基线焦虑症状、消极应对方式及出勤率对团体认知行为治疗有显著影响.

Improvement of trait coping style after group cognitive behavioral therapy in patients with mild depres-sion

Objective To investigate the improvement of trait coping style after group cognitive behavioral therapy (GCBT) and the effect of trait coping styles on GCBT in patients with mild depression. Methods The depressive symptom, anxiety symptom and trait coping style of mild depression patients be-fore and after GCBT and during follow-up were compared in this prospective self-control study.Results One hundred and two patients with mild depression were recruited. Compared to baseline, the scores of depression symptom, anxiety symptom and trait coping style at 12 weeks, 24 weeks, 36 weeks and 48 weeks declined sig-nificantly (P<0.05). Logistic regression analysis showed that baseline anxiety symptom, negative coping style, and attendance rate entered the final equation.Conclusions GCBT can significantly improve depression symp-tom, anxiety symptom and trait coping style. And the efficacy can last for a long time for mild depression patients. Baseline anxiety symptom, negative coping style, and attendance rate have significant influence on GCBT.