团体认知行为疗法在轻度抑郁症患者中的应用及疗效评估

目的:探讨团体认知行为疗法对轻度抑郁症患者概括化自传体记忆的治疗干预及对患者生活质量评分的影响。方法:轻度抑郁症患者120例分为2组各60例。对照组采用药物干预,观察组在对照组基础上联合团体认知行为疗法,2组均进行3周治疗,2组治疗前后采用贝克抑郁量表(BDI)、Williams自传体记忆(AMT)实验范式进行评估;采用生活质量(QLQ-C30)量表对2组治疗前后生活质量进行评估;采用医院自拟问卷调查表对2组治疗依从性进行评估。结果:治疗3周后,2组BDI评分治疗前后组内及组间比较均差异无统计学意义;2组AMT积极评分均明显高于治疗前(均P<0.05),且观察组明显高于对照组(P<0.05);2组AMT消极评分均明显低于治疗前(均P<0.05),且观察组明显低于对照组(P<0.05)。治疗后,2组QLQ-C30里面的生理功能、生理智能、躯体疼痛、总体健康、活力、社会功能、情感智能及精神健康评分均明显高于治疗前(均P<0.05),且观察组治疗后各项评分均明显高于对照组(均P<0.05)。治疗后,观察组团体认知行为疗法治疗依从率明显高于对照组(P<0.05)。结论:将团体认知行为疗法用于轻度抑郁症患者概括化自传体记忆的治疗干预效果理想,有助于改善患者自传体记忆概括化,提高患者生活质量及依从性,值得推广应用。

Application of group cognitive behavioral therapy in patients with mild depression and evaluation of curative effect

Objective: To investigate the effect of group cognitive behavioral therapy in the treatment of generalized autobiographical memory in patients with mild depression and its impact on QOL scores. Methods: 120 patients with mild depression who were admitted to our hospital from June 2016 to December 2017 were enrolled. According to the treatment plan, they were divided into control group and observation group equally. The control group was treated with drugs. The observation group was given drugs combined with group cognitive behavioral therapy. The two groups were treated for 3 weeks. The effect of the patients was evaluated after the treatment. The Beck Depression Scale (BDI) and Williams Autobiographical Gene (AMT) experimental paradigm were evaluated and counted before and 3 weeks after treatment. The quality of life (QLQ C30) scale was used to assess the two groups before and after treatment. The physiological function, physiological intelligence, physical pain, overall health, vitality, social function, emotional intelligence and mental health quality of life were assessed after treatment for 3 weeks. The hospital self study questionnaire was used to evaluate the treatment compliance in the two groups. The impact of group cognitive behavioral therapy on QOL scores was analyzed. Results: There was no significant difference in BDI score between the observation group and the control group before and after treatment (P>0.05). The positive score of AMT was significantly higher in the observation group than in the control group (P<0.05). The positive scores in the last 3 weeks were lower than those in the control group (P<0.05). The physiological function, physiological intelligence, physical pain, general health, vitality, social function, emotional intelligence and mental health scores in the observation group were higher than those in the control group after treatment for 3 weeks (P<0.05). The treatment compliance rate in the observation group after cognitive treatment was 95.00%, significantly higher than that in the control group (88.33%; P<0.05). Conclusion: The use of group cognitive behavior therapy for the treatment of patients with mild depression with generalized autobiographical memory is effective, which can improve the autobiographical memory, the quality of life and compliance of patients. It is worthy of popularization and application.