团体认知行为治疗失独者焦虑、抑郁情绪的疗效研究

来源:用户上传      作者:朱景新 陈丽云 余燕飞 杜昊

　　摘 要 目的：探团体认知行为治疗失独者伴发焦虑、抑郁的疗效。方法：选取上海市奉贤区金汇镇及金海社区内伴有焦虑、抑郁情绪的失独者50例，随机分为试验组26例和对照组24例。试验组的平均年龄为（61.4±5.0）岁，其中男性10例、女性16例。对照组的平均年龄为（63.0±6.7）岁，其中男性12例、女性12例。对照组对象接受家庭医生签约健康服务，试验组对象在对照组的基础上接受10周的团队认知行为治疗。分别用汉密尔顿抑郁量表、汉密尔顿焦虑量表、席汉残疾量表、健康状况调查问卷等比较两组的疗效。结果：治疗10周后，试验组失独者的汉密尔顿抑郁量表、汉密尔顿焦虑量表、席汉残疾量表评分低于对照组；差异均有统计学意义（均P<0.05）。除生理机能、生理职能及精力外，试验组失独者健康状况调查问卷的各指标得分明显高于对照组（P<0.05）。结论：团体认知行为治疗有助于改善失独者伴发焦虑、抑郁患者的情绪，恢复社会功能，提高生活质量。
　　关键词 焦虑；抑郁；失独者；团体认知行为治疗；生活质量
　　中图分类号：R749 文献标志码：A 文章编号：1006-1533（2022）16-0059-04
　　引用文本 朱景新， 陈丽云， 余燕飞， 等. 团体认知行为治疗对失独者焦虑、抑郁情绪的疗效研究[J]. 上海医药， 43（16）： 59-62.
　　Research of the effect of the group cognitive-behavioral therapy in the treatment of anxiety and depression of the lost only-one-child members
　　ZHU Jingxin1， CHEN Liyun1， YU Yanfei2， DU Hao3（1. Department of General Practice of Jinhai Community Health Service Center of Fengxian District， Shanghai 201499， China； 2. Department of Nursing Ward of Jinhai Community Health Service Center of Fengxian District， Shanghai 201499， China； 3.Psychiatry Department of Mental Health Center of Fengxian District， Shanghai 201418， China）
　　ABSTRACT Objective： To explore the effect of the group cognitive-behavioral therapy（GCBT） in the treatment of anxiety and depression of the lost only-one-child members. Methods： All 50 people of lost only-one-child members with anxiety and depression were selected from Jinhui Town and Jinhai Community of Fengxian District in Shanghai and divided into an experimental group with 26 cases and a control group with 24 cases. The average age of the experimental group was（61.4±5.0） years， and among them there were 10 males and 16 females. The average age of the control group was （63.0±6.7） years， and among them there were 12 males and 12 females. The cases in the control group received health services signed by family doctors， and on the basis of the control group the cases in the experimental group received 10 weeks of GCBT. The curative effects were compared with the Hamilton depression scale， Hamilton anxiety scale， Sheehan disability scale， health status questionnaire， and others between two groups. Results： The scores of Hamilton depression scale， Hamilton anxiety scale and Sheehan disability scale in the experimental group were lower than those in the control group after 10 weeks of intervention， and the differences were statistically significant（P<0.05）. In addition to physiological faculties， physiological function and energy， the scores of various indicators of health status questionnaire in the experimental group was significantly higher than those in the control group（P<0.05）. Conclusion： The GCBT can improve the mood of anxiety and depression of the lost only-one-child members， restore the social function and enhance the quality of life.

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