| 认知行为治疗对头颈部肿瘤患者焦虑抑郁情绪的对照研究 |
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| 引用本文： | 李玉焕,刘振静,孟祥军,张永春. 认知行为治疗对头颈部肿瘤患者焦虑抑郁情绪的对照研究[J]. 四川精神卫生, 2012, 25(1): 18-21 |
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| 作者姓名： | 李玉焕 刘振静 孟祥军 张永春 |
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| 作者单位： | 1. 266034,山东省青岛市精神卫生中心
2. 266034, 青岛大学医学院附属医院 |
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| 基金项目： | 青岛市卫生科技计划项目 |
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| 摘 要： | 目的探讨认知行为疗法对头颈部肿瘤患者伴发情绪问题的治疗作用。方法将43例抑郁症患者用随机数字法分为研究组21例(认知行为治疗,CBT)和对照组22例(支持性咨询),疗程为8周,采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、焦虑自评量表(SAS)和抑郁自评量表(SDS)评定疗效。结果治疗后第8周末,研究组HAMA和HAMD评分显著低于对照组(P<0.05),SAS标分、SDS指数、精神情感症状、躯体性障碍、精神运动性障碍和抑郁心理障碍评分均显著低于治疗前,差异有统计学意义(P<0.05)。结论 CBT可有效减少患者焦虑和抑郁症状,并通过早期干预治疗急性应激,防止癌症患者心理病理状态慢性化。
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| 关 键 词： | 认知行为治疗 头颈部肿瘤 抑郁 焦虑 |
A comparative study of cognitive behavioral therapy i(n) patients of head and neck cancer with anxiety and depression symptoms |
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| Affiliation: | LI Yuhuan,LIU Zhenjing,MENG Xiangjun,et al.Qingdao Mental Health Center,Shandong 266034,China |
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| Abstract: | Objective To investigate the efficacy of cognitive behavioral therapy in patients of head and neck cancer with anxiety and depression symptoms.Methods A total of 43 patients were randomly divided into cognitive behavioral therapy group（CBT） and supportive counselling group（SC）.All patients were evaluated with HAMD,HAMA,SAS and SDS.Results After treatment,the scores of HAMD,HAMA,SAS and SDS in two groups were both significantly lower than those before treatment.In the end,the scores of HAMD,HAMA,SAS and SDS in study group were significantly lower than those in control group.Conclusion CBT takes effects better than SC in patients of head and neck cancer with anxiety and depression symptoms. |
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| Keywords: | Cognitive behavioral therapy Head and neck cancer Depression Anxiety |
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