|
|
Application of structural group psychotherapy combined with social interaction training in patients with post-stroke depression#br# |
ZENG Ning1 CHEN Kehan1 ZHENG Hongli2 LIU Zuoyan1▲ |
1.Rehabilitation Medicine Center, West China Hospital Sichuan University, Sichuan Province, Chengdu 610041, China;
2.Department of Emergency, Chengdu First Orthopedic Hospital, Sichuan Province, Chengdu 610041, China |
|
|
Abstract Objective To observe the application effect of structural group psychotherapy combined with social interaction training in patients with post-stroke depression. Methods A total of 120 patients with post-stroke depression treated in West China Hospital Sichuan University from January to June 2019 were selected as the research subject, they were divided into study group and control group by a random number table method, with 60 cases in each group; the control group received social communication training, and the study group received structured group psychotherapy on the basis of the control group, both groups received continuous intervention for eight weeks; the psychological status (self-rating Depression scale [SDS], self-rating anxiety scale [SAS] ), and social function (scale of social function deficit for mantal disorders [SSFD-MD] ) of the two groups were analyzed and compared before intervention and eight weeks after intervention. Results After eight weeks of intervention, SDS and SAS scores of both groups were lower than those before intervention, and the study group was lower than the control group (P < 0.05); eight weeks after intervention, the scores of social participation, family life, self-care, getting along with others, understanding and communication in SSFD-MD of both groups were higher than those before intervention, and the study group was higher than the control group (P < 0.05). Conclusion Structural group psychotherapy combined with social interaction training can reduce the depression and anxiety of patients with post-stroke depression, and improve their social function.
|
|
|
|
|
[1] 黄玲,熊晓丽,孙跃华.康复训练辅助药物对老年脑卒中后抑郁患者神经和认知功能的影响[J].中华老年多器官疾病杂志,2020,19(2):137-140.
[2] 袁媛,吕敏,魏小利,等.心理护理联合早期康复对脑卒中后抑郁的应用观察[J].贵州医药,2020,44(11):1820-1821.
[3] 张佳宇,周宬宇,孙淑红.抑郁症患者的社会交往训练效果观察[J].医学临床研究,2018,35(2):354-356.
[4] 曾媛媛,魏玲,宋庭,等.结构式团体心理治疗和舍曲林治疗产后抑郁症疗效的对照研究[J].中国社会医学杂志,2016,33(2):197-199.
[5] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志,2018,51(9):666-675.
[6] 段泉泉,胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志,2012,26(9):676-679.
[7] 李毅,胡拾妮,高欢,等.精神障碍患者社会功能缺损评定量表的信效度分析[J].中华行为医学与脑科学杂志,2011,20(5):468-470.
[8] Hou Y,Zhang N,Hao J,et al. Acupuncture plus rehabilitation for post-stroke depression:A protocol for systematic review and meta-analysis [J]. Medicine,2020,99(28):e21078.
[9] 郑秋梅.情境式交往训练联合药物治疗对双相情感障碍患者康复效果的影响[J].中国药物与临床,2019,19(22):3972-3973.
[10] 张黎明,马晓燕,肖路平.交往训练对稳定期精神分裂症患者社会功能恢复的影响[J].海南医学,2013,24(21):3274-3276.
[11] 常淑莹,李黎明,贺春艳.探讨结构式团体心理治疗对抑郁症患者社会功能恢复的影响[J].护士进修杂志,2018, 33(7):617-620.
[12] 徐丽红,戴涛.认知行为团体心理治疗对抑郁症患者抑郁症状以及应对方式 社会支持影响的干预研究[J].中国药物与临床,2016,16(9):1347-1349.
[13] 秦晶,刘洪敏,王洁.团体心理治疗对康复期抑郁症患者的疗效及影响因素[J].国际精神病学杂志,2020,47(3):492-494.
[14] 陈栩,郭斯萍.积极心理团体辅导对大学生抑郁症状的干预效果评价[J].中国学校卫生,2016,37(6):874-877.
[15] 严顺琴.团体心理治疗在精神分裂患者康复期的干预效果研究[J].基因组学与应用生物学,2018,37(3):983-988.
[16] 赵辉.支持性团体心理治疗干预社区卫生服务中心老年住院患者焦虑抑郁的效果评价[J].中华全科医学,2019, 17(4):614-618.
[17] 石银燕,夏泳.团体心理治疗对首发精神分裂症患者认知功能、社会功能及疗效的影响[J].中华全科医学,2018, 16(6):957-960..
[18] 仪玉伟,李雪霓,魏时懿,等.团体心理治疗对恢复期精神分裂症患者生活质量及社会功能影响研究[J].国际精神病学杂志,2018,45(5):851-854.
[19] 李萌,郭园丽,王爱霞,等.团体积极心理疗法对老年卒中后抑郁患者的认知功能和情绪的影响[J].国际精神病学杂志,2020,47(4):812-814,821.
[20] Dark F,Scott JG,Baker A,et al. Randomized controlled trial of social cognition and interaction training compared to befriending group [J]. Br J Clin Psychol,2020,59(3):384-402.
[21] 辛春萍.60例精神分裂症患者社会交往训练效果评价[J].护理学报,2016,23(6):66-68.
[22] 范秋瑾,高勤,王佳慧.人际关系-社会节律与认知行为治疗在抑郁症患者中的临床价值[J].中国医药导报,2021,18(11):121-124.
[23] 刘振东,王文婷.文拉法辛联合团体人际心理疗法对社交恐惧症患者疗效及自我效能感、焦虑症状的影响[J].国际精神病学杂志,2019,46(5):863-866.
[24] Varma G,Kalkan F,Oguzhanoglu NK,et al. The role of group psychotherapy and psychodrama in the treatment of depression [J]. J Clin Psychiatry,2017,20(4):308-317.
[25] 凌枫,金勤华,秦金梅,等.结构式团体心理干预对社区糖尿病合并抑郁症患者疗效和生活质量的影响[J].广东医学,2018,39(19):2947-2950. |
|
|
|