CAJ | 학술논문

目的：探讨认知行为疗法在抑郁症患者中的应用效果。方法：将60例抑郁症患者随机分为观察组和对照组各30例，两组均给予盐酸舍曲林系统治疗和精神科常规护理，对照组接受常规性健康教育和一般性娱疗活动，观察组在对照组基础上增加认知行为疗法；比较两组治疗前及治疗2、4和6周后康复效果及出院6个月、1年、2年后的复发率。结果：治疗4周和6周后，观察组汉密尔顿抑郁量表（HAMD）、田纳西自我概念量表（TSCS）、个人和社会功能量表（PSP）评分均优于对照组（P＜0.05，P＜0.01），观察组随访1、2年复发率均低于对照组（P＜0.05，P＜0.01）。结论：认知行为疗法有助于提高抑郁症患者的疗效，消除心理障碍，减少复发，对患者的康复具有积极的促进作用。
목적：탐토인지행위요법재억욱증환자중적응용효과。방법：장60례억욱증환자수궤분위관찰조화대조조각30례，량조균급여염산사곡림계통치료화정신과상규호리，대조조접수상규성건강교육화일반성오료활동，관찰조재대조조기출상증가인지행위요법；비교량조치료전급치료2、4화6주후강복효과급출원6개월、1년、2년후적복발솔。결과：치료4주화6주후，관찰조한밀이돈억욱량표（HAMD）、전납서자아개념량표（TSCS）、개인화사회공능량표（PSP）평분균우우대조조（P＜0.05，P＜0.01），관찰조수방1、2년복발솔균저우대조조（P＜0.05，P＜0.01）。결론：인지행위요법유조우제고억욱증환자적료효，소제심리장애，감소복발，대환자적강복구유적겁적촉진작용。
Objective:To explore the application effect of cognitive therapy in the rehabilitation of patients with depression. Methods:60 patients with depression were randomly divided into the observation group and the control group(30 cases in each group). The patients in both groups were treated with sertraline hydrochloride and were given routine psychiatric nursing care. At the same time,the patients in the control group received routine health education and general recreational therapy and the patients in the observation group were additionally provided cognitive therapy. The rehabilitation effect before the treatment and after the treatment for 2,4 and 6 weeks and the recurrence rate after 2 years were compared between the two groups. Results:The scores of HAMD,TSCS and PSP were superior in the observation group to the control group after the treatment for 4 and 6 weeks(P<0. 05,P<0. 01);the recurrence rate was lower in the observation group than the control group after following up for one to two years(P<0. 05,P<0. 01). Conclusion:The cognitive therapy is helpful to improve the curative effect of patients with depression,eliminate the psychological barriers and reduce recurrence,which plays a positive role in promo-ting the rehabilitation of patients.