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冠心病患者伴焦虑抑郁的心理干预
引用本文:肖继明,徐军,缪东培. 冠心病患者伴焦虑抑郁的心理干预[J]. 医学研究生学报, 2011, 24(9): 927-929
作者姓名:肖继明  徐军  缪东培
作者单位:南京军区南京总医院干部心内科,南京,210002
基金项目:江苏省六大人才高峰重点课题基金(2005A6)
摘    要:目的冠心病是目前公认的身心疾病,心理社会因素与其发生、发展及预后关系密切,其中焦虑、抑郁尤为重要。文中旨在研究心理干预对冠心病(coronary heart d isease,CHD)患者伴焦虑、抑郁的作用。方法将102例CHD伴焦虑、抑郁的住院患者随机分为2组,单纯药物治疗为对照组,50例患者;药物治疗+心理干预为心理干预组,52例患者。2组患者在治疗前和治疗3周均采用抑郁自评量表(self-rating depression scale,SDS)、焦虑自评量表(self-rating anxiety scale,SAS)、90项症状清单(symptom checklist 90,SCL-90)评分,出院时进行临床疗效总体评估。结果心理干预组与对照组患者SAS、SDS、SCL-90首次评定结果无显著性差异;3周后再次评定,心理干预组患者的SAS、SDS、SCL-90评分显著低于对照组(P<0.05)。结论心理干预对CHD伴焦虑、抑郁患者有很好的治疗效果。

关 键 词:心理干预  冠心病  抑郁  焦虑

Psychological intervention on depression and anxiety patients with coronary heart disease
XIAO Ji-ming,XU Jun,MIAO Dong-pei. Psychological intervention on depression and anxiety patients with coronary heart disease[J]. Bulletin of Medical Postgraduate, 2011, 24(9): 927-929
Authors:XIAO Ji-ming  XU Jun  MIAO Dong-pei
Affiliation:XIAO Ji-ming,XU Jun,MIAO Dong-pei(Department of Geriatric Cardiology,Nanjing General Hospital of Nanjing Military Command,PLA,Nanjing 210002,Jiangsu,China)
Abstract:Objective Coronary heart disease(CHD) is known as the psychosomatic disease at present.Psycho-society factor is strongly associated with the development,progress and prognosis of CHD,especially depression and anxiety.The aim of this article is to study the psychological intervention on the patients of CHD with depression and anxiety.Methods 102 cases of CHD with depression and anxiety were randomly divided into two groups:the simple drug treatment group(the control group),psychological intervention and drug...
Keywords:Psychological intervention  Coronary heart disease  Depression  Anxiety  
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