摘要
目的:探究内观疗法联合改良森田疗法治疗伴有躯体症状抑郁障碍患者的疗效。方法:招募158例伴有躯体症状抑郁障碍患者,随机分成研究组(79例,完成73例)和对照组(79例,完成75例)。两组都接受药物治疗和1周的集中内观疗法,研究组在此基础上再接受3周的改良森田疗法。干预前后对两组患者进行汉密尔顿抑郁量表(HAMD)、躯体症状严重程度量表(PHQ-15)、多伦多述情障碍量表(TAS)、一般自我效能感量表(GSES)和12项健康调查简表(SF-12)评估。结果:①干预后研究组的焦虑/躯体化、认知障碍、日夜变化、阻滞、睡眠障碍、绝望感因子评分和HAMD总分显著低于对照组,有统计学差异(t=-6.9688,-4.2307,-2.7112,-5.4547,-6.0812,-4.3267,-7.2164;P<0.01);②干预后研究组的PHQ-15评分显著低于对照组,有统计学差异;③干预后研究组的外向性思维和TAS总分显著低于对照组,有统计学差异(t=-4.5851,-3.5562;P<0.01);④干预后研究组的GSES评分显著高于对照组,有统计学差异(t=13.6929,P<0.01);⑤干预后研究组的PCS和MCS评分明显高于对照组,有统计学差异(t=3.5060,3.2659;P<0.01)。结论:内观疗法联合改良森田疗法治疗伴有躯体症状的抑郁障碍的疗效优于单用内观疗法。
Objective:To explore the efficacy of Naikan therapy combined with modified Morita therapy in patients with depressive disorder accompanied by somatic symptoms.Methods:A total of 158 patients with depressive disorder accompanied by somatic symptoms were enrolled and randomized into study group(79 patients,73 patients completed)and control group(79 patients,75 patients completed).Both groups received medical treatement and one-week of concentrated Naikan therapy.In addition,the study group received a three-week of modified Morita therapy.The Hamilton Depression Scale(HAMD),the Patient Health Questionnaire-15(PHQ-15),the Toronto Alexithymia Scale(TAS),the general self-efficacy scale(GSES)and the 12-Item short form health survey(SF-12)were evaluated before and after intervention.Results:①After intervention,the score of anxiety/somatization(t=-6.9688,P<0.01),cognitive impairment(t=-4.2307,P<0.01),day and night changes(t=-2.7112,P<0.01),block(t=-5.4547,P<0.01),sleep disorder(t=-6.0812,P<0.01),sense of despair(t=-4.3267,P<0.01)and total score of HAMD(t=-7.2164,P<0.01)in the study group were significantly lower than those of the control group;②After the intervention,the score of PHQ-15 in the study group(t=-5.5504,P<0.01)was significantly lower than that of the control group.③After the intervention,the score of extroversion factor(t=-4.5851,P<0.01)and total score of TAS(t=-3.5562,P<0.01)were significantly lower than those in the control group;④After the intervention,the score of GSES score in the study group(t=13.6929,P<0.01)was significantly higher than that of the control group;⑤After the intervention,the score of PCS(t=3.5060,P<0.01)and MCS(t=3.2659,P<0.01)in the study group were significantly higher than those of the control group.Conclusion:The efficacy of Naikan therapy combined with modified Morita therapy in the treatment of the patients with depressive disorder accompanied by somatic symptoms is superior to single Naikan therapy.
作者
周璇
ZHOU Xuan(Zibo Mental Health Center,Zibo 255100,China)
出处
《中国健康心理学杂志》
2020年第1期9-13,共5页
China Journal of Health Psychology
关键词
内观疗法
改良森田疗法
躯体症状
抑郁障碍
Naikan therapy
Modified Morita therapy
Somatic symptoms
Depressive disorder
