团体认知行为治疗对青少年双相抑郁患者抑郁症状、应对方式及家庭功能的影响

目的 探讨团体认知行为治疗(group cognitive behavioral therapy,G-CBT)对青少年双相抑郁患者临床特征、应对方式及家庭功能的作用.方法 选择2019年1月-2021年1月在杭州市第七人民医院住院治疗的80名青少年双相抑郁患者,采用随机数字表法分为研究组(药物治疗联合G-CBT组)和对...

Effect of group cognitive behavioural therapy on depressive symptoms,coping styles and family functions in adolescents with bipolar depression

  Objective  To explore the effects of group cognitive behavioural therapy (G-CBT) on the population's clinical characteristics, coping styles and family functions in adolescents with bipolar depression.  Methods  Eighty adolescents with bipolar depression who were hospitalised in Hangzhou Seventh People's Hospital from January 2019 to January 2021 were selected as the research subjects. They were randomly divided into the study group (drug therapy combined with G-CBT) and control group (drug therapy) for a total of 8 weeks of treatment. Thirty-four patients in the study group and 35 patients in the control group completed the treatment. Hamilton's depression scale, simplified coping style questionnaire and family assessment device scale were used to assess the depressive symptoms, coping styles and family functions of the two groups of patients before and after treatment.  Results  The Hamilton's depression scale scores of the two groups were lower after treatment (study group 10.941±3.302, control group 14.742±4.293) than before treatment (25.676±2.371 and 26.057±2.900), and the difference was statistically significant (P < 0.05). In terms of coping style, the active coping dimensions (1.904±0.248 and 1.793±0.345) of the two groups were higher than those before treatment (1.541±0.300 and 1.588±0.330, P < 0.05), the dimensions of negative coping (1.398±0.366 and 1.589±0.411) were all lower than those before treatment (1.783±0.398 and 1.789±0.062, P < 0.05). After treatment, the negative coping dimension score of the study group was lower than that of the control group, and the difference was statistically significant (P < 0.05). In terms of family function, the study group's communication, role, behaviour control and total functional dimensions were lower after treatment than before treatment (P < 0.05). After treatment, the study group had better communication and role dimensions than the control group, and the difference was statistically significant (P < 0.05).  Conclusion  G-CBT can enhance the efficacy of drug therapy on depressive symptoms in adolescents with bipolar depression and can significantly improve patients' coping style and family function in communication, role, behaviour control and overall function.