| 夏兴文,王尔东,周俊鑫,王培佳,胡潇予,李雪瑞,黄杰,胡华.药物联合心理剧治疗对女性抑郁症患者抑郁、自尊、心理资本的影响[J].四川精神卫生杂志,2020,33(6):532-536.Xia Xingwen,Wang Erdong,Zhou Junxin,Wang Peijia,Hu Xiaoyu,Li Xuerui,Huang Jie,Hu Hua,Effect of medical treatment combined with psychodrama therapy on depression status， self-esteem and psychological capital of female patients with depression[J].SICHUAN MENTAL HEALTH,2020,33(6):532-536 |
| 药物联合心理剧治疗对女性抑郁症患者抑郁、自尊、心理资本的影响 |
| Effect of medical treatment combined with psychodrama therapy on depression status， self-esteem and psychological capital of female patients with depression |
| 投稿时间：2020-08-30 |
| DOI：10.11886/scjsws20200830002 |
| 中文关键词: 抑郁症 女性 易术心理剧 自尊 心理资本 |
| 英文关键词:Depression Female Yi Shu Psychodrama Self-esteem Psychological capital |
| 基金项目:2016年重庆市卫生计生委医学科研项目（项目名称：易术心理剧（联合抗抑郁药物）治疗对伴早年创伤的抑郁症干预模式开发与应用研究，项目编号：2016ZDXM003）；2018年重庆市技术创新与应用示范项目（项目名称：易术心理剧技术在门诊抑郁症治疗与康复的个别与团体干预模式研究，项目编号：cstc2018jscx-msybX0118） |
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| 中文摘要: |
| 目的 探索药物联合心理剧治疗对女性抑郁症患者抑郁情绪、自尊、心理资本的影响，为女性抑郁症的临床治疗提供更多可能性。方法 纳入在重庆医科大学附属第一医院精神科就诊的、符合《国际疾病分类（第10版）》（ICD-10）诊断标准的女性抑郁症患者共50例，采用随机数字表法分为观察组和对照组各25例。在一线抗抑郁药物治疗的基础上，对观察组予以每两月一次、每次四天，共三次易术心理剧治疗，对照组接受一般健康教育。于干预前和干预6个月结束时采用贝克抑郁量表（BDI）、自尊量表（SES）及积极心理资本问卷（PPQ）对两组患者进行评定。结果 ①重复测量方差分析结果显示，抑郁情绪、自尊、心理资本及其各维度在时间测量与分组干预交互作用方面具有统计学意义（P均<0.05）。②简单效应分析结果显示，干预前，观察组及对照组在抑郁情绪、自尊、心理资本及其各维度评分差异无统计学意义（P>0.05）；干预6个月后，两组患者抑郁情绪、自尊、心理资本及其各维度评分差异均有统计学意义（P均<0.05）。结论 抗抑郁药物联合心理剧治疗可能有助于改善女性抑郁症患者抑郁情绪、自尊及心理资本，且其效果较抗抑郁药物联合一般健康教育更好。 |
| 英文摘要: |
| Objective To explore the effects of medical treatment combined with psychodrama therapy on depression status， self-esteem and psychological capital of female depression patients， and to provide more choices for clinical treatment of female depression.Methods A total of 50 female depression patients in Psychiatric Department of the First Affiliated Hospital of Chongqing Medical University who met the diagnostic criteria of the International Classification of Diseases， tenth edition （ICD-10） were enrolled， and patients were divided into two groups by random number table method， each with 25 cases. All patients received the first-line antidepressant treatment， based on this， observation group received three cycles of Yishu psychodrama treatment， once per two months and lasting for four days， while control group only received general health education. Then patients were assessed using Beck Depression Inventory （BDI）， Self-Esteem Scale （SES） and Positive Psychological Capital Questionnaire （PPQ） were used to evaluate the two groups of patients before and 6 months after intervention.Results ①The results of repeated measure ANOVA revealed that depression， self-esteem， psychological capital and various dimensions showed significant difference in the interaction of Time x Intervention （P<0.05）. ② The simple effect analysis results showed that the scores of depression， self-esteem， psychological capital and various dimensions showed no statistic difference between two groups before intervention （P>0.05）， while the scores of the above dimensions had significant difference between two groups at 6 months after intervention （P<0.05）.Conclusion Antidepressant combined with psychodrama therapy can significantly ameliorate the depression status， self-esteem and psychological capital in female patients with depression， and its effect proves to be more obvious than that of antidepressant combined with general health education therapy. |
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