摘要
目的探讨抑郁症睡眠障碍、自动思维对疗效的影响。方法应用汉密尔顿抑郁量表(HAMD-24),匹兹堡睡眠质量问卷(PSQI),在治疗前及治疗后4周对75名抑郁症患者进行2次评定,并对其中40名患者于治疗前施测自动思维问卷(ATQ-30)。结果①通过4周治疗,抑郁-睡眠障碍组(简称A组)和抑郁-非睡眠障碍组(简称B组)HAMD总分及各因子分均显著下降(P<0.01),但A组的PSQI得分仍显著高于B组(8.20±2.278,6.70±2.229);(P<0.01);②疗前抑郁-自动思维高分组(简称C组)与抑郁-自动思维低分组(简称D组)HAMD总分(27.38,17.55);(P<0.05)和绝望(28.38,17.13);(P<0.01)平均秩次有显著差异,疗后C组绝望因子的平均秩次仍显著高于D组(26.00,18.14);(P<0.05)。结论抑郁症睡眠障碍和不良自动思维影响着疾病的严重程度和抗抑郁治疗的疗效。
Objective To investigate the impact of sleep disorders and negative automatic thinking on effectiveness.Methods Hamilton Depression Rating Scale（HAMD-24）and Pittsburgh Sleep Quality Index（PSQI）were used to assess 75 inpatients before and after 4 weeks antidepression treatment,and The Automatic Thoughts Questionnaire（ATQ-30）was used to evaluate 40 of them.Results After 4-week treatment,the scores of HAMD as well as all the factors were declined significantly for both two groups（P〈0.01）,depression-sleep disturbance（A-group）and depression-no sleep disturbance（B-group）,while the sleep disorders was still more serious in A group than in B group（8.20±2.278）,（6.70±2.229）;（P〈0.01）.Before antidepression treatment,the mean rank of HAMD（27.38,17.55）;（P〈0.05） and the hopelessness factor（28.38,17.13）;（P〈0.01） were significantly higher in depression-ATQ high marks group（C-group）,and after the treatment,the mean rank of hopelessness of A group was still higher than that of D group（26.00,18.14）;（P〈0.05）.Conclusion The seriousness of sleep disorders and negative automatic thoughts all impact the antidepressive results.
出处
《中国健康心理学杂志》
2012年第5期643-646,共4页
China Journal of Health Psychology
关键词
抑郁症
睡眠障碍
自动思维
疗效
Depression
Sleep disturbance
Automatic thoughts
Effectiveness
