上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（临床研究） • 上一篇    下一篇

针对轻症抑郁患者的团体认知行为治疗及疗效因子

王宇1，苑成梅1，孙霞1，曹岚1，卢卫红1，陈涵1，叶尘宇2，陈华2，薛莉莉1，张亚3，方贻儒1   

  1. 1.上海交通大学 医学院附属精神卫生中心， 上海 200033； 2.复旦大学附属中山医院心理科， 上海 200032； 3.华东师范大学心理咨询中心， 上海 200062
  • 出版日期:2015-08-28 发布日期:2015-09-30
  • 通讯作者: 苑成梅, 电子信箱: yuanchengmei@yeah.net; 方贻儒, 电子信箱: yirufang@aliyun.com。
  • 作者简介:王宇（1989—）， 女， 硕士生; 电子信箱: wy_15226187157@163.com。
  • 基金资助:

    上海交通大学“医工交叉研究基金”面上项目（YG2011MS37）；上海市卫生局公共卫生海外留学人才项目（GWHW201202）；上海交通大学医学院自然科学基金（12XJ20039）；上海市科委医学引导项目（124119a8602）；“十二五”国家科技支撑项目（2012BAI01B04）

Group cognitive behavioral therapy for patients with mild depressive disorder and factors of therapeutic effect

WANG Yu1, YUAN Cheng-mei1, SUN Xia1,  CAO Lan1, LU Wei-hong1, CHEN Han1, YE Chen-yu2, CHEN Hua2, XUE Li-li1, ZHANG Ya3,  FANG Yi-ru1   

  1. 1.Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200033, China; 2.Department of Psychology, Zhongshan Hospital, Fudan University, Shanghai 200032, China; 3.Psychological Counseling Center, East China Normal University, Shanghai 200062, China
  • Online:2015-08-28 Published:2015-09-30
  • Supported by:

    Biomedical Engineering Cross Research Foundation of Shanghai Jiao Tong University, YG2011MS37; Project for Public Health Young Scientists Studying Abroad of Shanghai Health Bureau, GWHW201202; Natural Science Foundation of Shanghai Jiao Tong University School of Medicine, 12XJ20039; Medicine Guidance Project of Science and Technology Commission of Shanghai Municipality, 124119a8602; Major Science and Technology Support Program in the National “12th 5-year Plan” of China, 2012BAI01B04

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摘要：

目的  评估自主编制的针对轻症抑郁患者的结构式团体认知行为治疗手册的疗效及其影响因素。方法  采用前后对照设计，比较结构式团体认知行为治疗前后患者抑郁症状及生活质量改善情况，并分析可能影响疗效的因素。结果  共入组23例患者，其抑郁症状、生活质量在治疗前后差异有统计学意义（P<0.01），且这种改变在随访的24、36和48周仍持续存在。生活质量是预测团体认知行为治疗效果的重要变量（β=-0.436，Wals=4.246，P=0.039）。结论  自主编制的结构式轻症抑郁团体认知行为治疗手册疗效肯定、持久，有重要的临床应用价值。

关键词: 轻症抑郁, 结构式团体认知行为治疗, 生活质量, 领悟社会支持, 早年创伤经历

Abstract:

Objective  To evaluate the effect of independently compiled structured group cognitive behavioral therapy handbook for treating patients with mild depressive disorder and influencing factors. Methods  The before-and-after control design was adopted to compare depressive symptoms and life quality of patients before and after the structured group cognitive behavioral therapy and factors that might influence the therapeutic effect were analyzed. Results  A total of 23 patients were enrolled and the differences of depressive symptoms and life quality before and after therapy were statistically significant (P<0.01). Follow-up findings in 24th, 36th, and 48th week indicated that changes of depressive symptoms and life quality still existed. Life quality was an important variable for predicting the effect of group cognitive behavioral therapy (β=-0.436, Wals=4.246, P=0.039). Conclusion  The independently compiled structured group cognitive behavioral therapy handbook has positive and durable effect for treating patients with mild depressive disorder and has important value for clinical applications.

Key words: mild depressive disorder, structured group cognitive behavioral therapy; , life quality; , perceived social support; , early trauma experience