摘要
目的研究正念治疗法改善抑郁症患者负性情绪及消极应对能力。方法随机将符合ICD-10抑郁症诊断标准的80例抑郁症患者分为研究组(41例)、对照组(39例);研究组应用8周的正念治疗法干预,对照组应用心理疏导干预,应用HAMD量表和PANAS、SCSQ问卷测评干预效果。结果干预8周末,①HAMD:两组总分均下降,组间比较差异无统计学意义(t=0.52,P>0.05),说明两组治疗抑郁临床效果相当。②PANAS:积极情绪研究组分值比对照组上升快(t=5.19,P<0.05);消极情绪研究组分值比对照组下降快(t=5.41,P<0.05);③SCSQ:积极应对研究组分值比对照组上升快(t=7.74,P<0.05),消极应对研究组分值比对照组下降快(t=8.63,P<0.05)。结论正念干预法较心理疏导干预技术而言不仅更能提高抑郁症患者的积极情绪,减轻其消极情绪;而且能有效促进患者采取积极的应对方式。
Objective To improve the negative emotion and passive response ability of in patients with depression by mindfulness treatment. Methods 80 patients with depression who met the diagnostic criteria of ICD-IO depression were randomly divided into study group（n=41） and control group（n=39）. The study group was treated with 8W mindfulness therapy and the control group was psychological intervention. The HAMD scale, PANAS and SCSQ questionnaires were used to evaluate the effect of interventions. Results At the end of intervention for 8W, ①the total scores of HAMD in the two groups decreased（t=0.52, P〉0.05）, indicating similar clinical results in the treatment of depression. ②The positive emotion scores of PANAS in the study group grew faster than those in the control group（t=5.19, P〈0.05）, and the nega- tive emotion scores of PANAS in the study group fell faster than those in the control group（t=5.41, P〈0.05）. ③The scores of active response in SCSQ of the study group grew faster than those in the control group（t=7.74, P〈0.05）, and the negative response scores in SCSQ of the study component fell faster than those in the control group（t=8.63, P〈0.05）. Conclusion Mindfulness intervention method not only can improve the positive emotion of patients with depression but also alleviate their negative emotion compared with psychological intervention, which can also effectively promote the positive response style of patients.
作者
赵建利
任雪英
占建华
董莹盈
严伟良
ZHAO Jianli;REN Xueying;ZHAN Jianhua;DONG Yingying;YAN Weiliang(Department of Psychosomatic,Shaoxing Seventh People＇s Hospital,Shaoxing 312000,China;Department of Nursing,Shaoxing Seventh People＇s Hospital,Shaoxing 312000,China;Sleep Diagnosis and Treatment Center,Shaoxing Seventh People＇s Hospital,Shaoxing 312000,China)
出处
《中国现代医生》
2018年第21期93-96,共4页
China Modern Doctor
基金
浙江省中医药科学研究基金项目(2017ZA140)
浙江省绍兴市公益性技术应用研究计划项目(2015B70051)
关键词
正念治疗法
抑郁
情绪
应对
积极
消极
Mindfulness therapy
Depression
Mood
Response
Positive
Negative
