网络静观认知团体治疗改善首发抑郁症患者的情绪、心理弹性和睡眠质量的研究

卢沙; 陈广烈

doi:10.16766/j.cnki.issn.1674-4152.002635

网络静观认知团体治疗改善首发抑郁症患者的情绪、心理弹性和睡眠质量的研究

doi: 10.16766/j.cnki.issn.1674-4152.002635

卢沙^,,
陈广烈

浙江大学医学院附属精神卫生中心，杭州市第七人民医院开放病区，浙江杭州 310013

基金项目:

浙江省中医药科技计划项目 2021ZB232

详细信息

通讯作者:
卢沙, E-mail: zjjskx12@163.com

中图分类号: R749.41 R749.055
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- 文章访问数: 177
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- PDF下载量: 5
- 被引次数: 0
出版历程
- 收稿日期: 2022-01-12
- 网络出版日期: 2022-11-29

Improvement of mood, psychological resilience and sleep quality in patients with first-episode depression by networked mindfulness-based cognitive group therapy

LU Sha^,,
CHEN Guang-lie

Open Department, Hangzhou Seventh People ' s Hospital, Mental Health Centre Affiliated to Zhejiang University School of Medicine, Hangzhou, Zhejiang 310013, China

摘要

摘要: 目的探索网络静观认知团体治疗对首发抑郁症患者抑郁、焦虑、心理弹性和睡眠质量的影响。方法选择2020年1月—2021年9月于杭州市第七人民医院就诊的84例首发抑郁症患者，根据随机数字表法分为对照组(药物治疗，40例)和干预组(药物+网络静观团体治疗，44例)。观察2组8周治疗后抑郁评分、焦虑评分、心理弹性评分和睡眠质量评分变化。结果经过8周治疗后，2组抑郁评分、焦虑评分、心理弹性评分、睡眠质量评分均较治疗前改善(均P＜0.001)，治疗后组间比较发现干预组抑郁评分[(5.84±3.50)分]、焦虑评分[(8.07±2.65)分]、心理弹性评分[(80.68±6.66)分]和睡眠质量评分[(5.93±1.87)分]均优于对照组[(9.38±4.54)分、(11.23±4.88)分、(72.28±5.29)分、(7.73±2.03)分，均P＜0.001]。患者基线抑郁评分与心理弹性评分呈负相关(r=-0.747, P＜0.001)，与睡眠质量评分呈正相关(r=0.892, P＜0.001)。结论网络静观认知团体治疗可缓解首发抑郁症患者抑郁、焦虑情绪，提高心理弹性，改善睡眠质量。
- 抑郁症 /
- 团体心理治疗 /
- 网络
Abstract: Objective To explore the effects of networked mindfulness-based cognitive group therapy on depression, anxiety, psychological resilience levels and sleep quality in patients with first-episode depression. Methods Eighty-four patients with first-episode depression who attended the Hangzhou Seventh People ' s Hospital from January 2020 to September 2021 were selected and randomly divided into a control group (conventional medication, n=40) and an intervention group (medication+networked mindfulness-based cognitive group therapy, n=44) according to a random number table. Changes in depression, anxiety, psychological resilience and sleep quality were explored in the two groups after 8 weeks of treatment. Results After 8 weeks of treatment, the scores of depression, anxiety, psychological resilience scores and sleep quality significantly improved in both the control and intervention groups compared with those before the treatment (each P < 0.001). Comparison between groups after treatment revealed that the scores of depression, anxiety, psychological resilience scores and sleep quality in the intervention group [(5.84±3.50) points, (8.07±2.65) points, (80.68±6.66) points, (5.93±1.87) points] were better than those in the control group [(9.38±4.54) points, (11.23±4.88) points, (72.28±5.29) points, (7.73±2.03) points, all P < 0.001]. The scores of depression at baseline were negatively correlated with their psychological resilience scores (r=-0.747, P < 0.001) and positively correlated with their sleep quality scores (r=0.892, P < 0.001). Conclusion Networked mindfulness-based cognitive group therapy can alleviate depression and anxiety, increase psychological resilience and improve sleep quality in patients with first-episode depression.
- Depression /
- Group psychotherapy /
- Network

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表 1 2组首发抑郁症患者一般资料比较

Table 1. Comparison of general data of two groups of patients with first episode depressionn

组别	例数	年龄(x±s，岁)	性别(例)		受教育年限(x±s，年)
组别	例数	年龄(x±s，岁)	女性	男性	受教育年限(x±s，年)
对照组	40	29.83±4.12	25	15	14.55±1.32
干预组	44	28.95±3.95	29	15	13.89±1.70
统计量		0.989^a	0.106^b		1.983^a
P值		0.326	0.821		0.051
注：^a为t值，^b为χ²值。

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表 2 2组首发抑郁症患者治疗前后HAMD、HAMA、CD-RISC及PSQI评分比较(x±s，分)

Table 2. Comparison of HAMD, HAMA, CD-RISC and PSQI scores before and after treatment in two groups of patients with first episode depression (x±s, points)

组别	例数	HAMD		HAMA		CD-RISC		PSQI
组别	例数	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
对照组	40	22.08±3.23	9.38±4.54^a	24.45±3.21	11.23±4.88^a	43.28±5.96	72.28±5.29^a	12.15±2.64	7.73±2.03^a
干预组	44	21.48±3.43	5.84±3.50^a	23.61±4.61	8.07±2.65^a	44.82±6.83	80.68±6.66^a	12.50±3.48	5.93±1.87^a
t值		0.82	3.966	0.972	3.634	1.098	6.367	0.515	4.216
P值		0.415	< 0.001	0.334	0.001	0.275	< 0.001	0.608	< 0.001
注：与同组治疗前比较，^aP＜0.001。

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表 3 首发抑郁症患者基线HAMD评分、CD-RISC评分及PSOI评分间的相关性(r值)

Table 3. Correlation between baseline HAMD score, CD-RISC score and PSOI score in patients with first episode depression (r values)

项目	HAMD	PSQI	CD-RISC
HAMD	1.000
PSQI	0.892	1.000
CD-RISC	-0.747	-0.652	1.000
注：控制变量年龄和受教育年限。均P＜0.001。

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