中国健康心理学杂志
中國健康心理學雜誌
중국건강심이학잡지
China Journal of Health Psychology
2015年
11期
1616-1620
,共5页
糖尿病%抑郁%行为活化治疗%行为抑制系统%行为激活系统
糖尿病%抑鬱%行為活化治療%行為抑製繫統%行為激活繫統
당뇨병%억욱%행위활화치료%행위억제계통%행위격활계통
Diabetes mellitus%Depression%Behavioral activation therapeutics%Behavioral inhibition system%Behavioral activation system
目的:探讨行为活化对老年糖尿病( DM)共病抑郁的疗效,及治疗过程中行为抑制、激活系统的变化情况. 方法:老年DM伴抑郁症患者随机分组后,分别接受行为活化治疗(BA组,n=36)和支持性心理治疗(SP组,n=33),疗程6周;于治疗前后评定Beck抑郁问卷(BDI)、行为抑制/激活系统量表(BIS/BAS). 结果:①治疗6周时,BA组、SP组BDI(t=9.319,7.041;均P=0.000)、BIS(t=3.677,3.075;P=0.001,0.004)评分均较治疗前降低,BAS评分均较治疗前增高(t=4.484,2.308;P=0.000,0.028);②治疗6周时,BA组BDI、BAS评分的变化率显著高于SP组(t=3.189,2.167;P=0.029,0.044),而两组BIS评分变化率无显著差异(t=0.948,P=0.346);③BA组、SP组的BDI评分变化率均与BAS评分的变化率负相关(r=-0.415,-0.353;P=0.011,0.043),而与BIS评分变化率的相关性均不显著(r=0.266,0.213;P=0.104,0.230). 结论:BA可改善老年糖尿病患者伴发的抑郁,并可能与其对行为激活系统有较强的作用有关.
目的:探討行為活化對老年糖尿病( DM)共病抑鬱的療效,及治療過程中行為抑製、激活繫統的變化情況. 方法:老年DM伴抑鬱癥患者隨機分組後,分彆接受行為活化治療(BA組,n=36)和支持性心理治療(SP組,n=33),療程6週;于治療前後評定Beck抑鬱問捲(BDI)、行為抑製/激活繫統量錶(BIS/BAS). 結果:①治療6週時,BA組、SP組BDI(t=9.319,7.041;均P=0.000)、BIS(t=3.677,3.075;P=0.001,0.004)評分均較治療前降低,BAS評分均較治療前增高(t=4.484,2.308;P=0.000,0.028);②治療6週時,BA組BDI、BAS評分的變化率顯著高于SP組(t=3.189,2.167;P=0.029,0.044),而兩組BIS評分變化率無顯著差異(t=0.948,P=0.346);③BA組、SP組的BDI評分變化率均與BAS評分的變化率負相關(r=-0.415,-0.353;P=0.011,0.043),而與BIS評分變化率的相關性均不顯著(r=0.266,0.213;P=0.104,0.230). 結論:BA可改善老年糖尿病患者伴髮的抑鬱,併可能與其對行為激活繫統有較彊的作用有關.
목적:탐토행위활화대노년당뇨병( DM)공병억욱적료효,급치료과정중행위억제、격활계통적변화정황. 방법:노년DM반억욱증환자수궤분조후,분별접수행위활화치료(BA조,n=36)화지지성심리치료(SP조,n=33),료정6주;우치료전후평정Beck억욱문권(BDI)、행위억제/격활계통량표(BIS/BAS). 결과:①치료6주시,BA조、SP조BDI(t=9.319,7.041;균P=0.000)、BIS(t=3.677,3.075;P=0.001,0.004)평분균교치료전강저,BAS평분균교치료전증고(t=4.484,2.308;P=0.000,0.028);②치료6주시,BA조BDI、BAS평분적변화솔현저고우SP조(t=3.189,2.167;P=0.029,0.044),이량조BIS평분변화솔무현저차이(t=0.948,P=0.346);③BA조、SP조적BDI평분변화솔균여BAS평분적변화솔부상관(r=-0.415,-0.353;P=0.011,0.043),이여BIS평분변화솔적상관성균불현저(r=0.266,0.213;P=0.104,0.230). 결론:BA가개선노년당뇨병환자반발적억욱,병가능여기대행위격활계통유교강적작용유관.
Objective:To study the effects of behavioral activation ( BA) on depression in patients with diabetes mellitus( DM) and explore the possible role of BA on behavioral inhibition/activation systems (BIS/BAS).Methods:Elder depressed DM patients were divided into BA group (n=36)and supportive psychotherapy(SP)group(n=33)for a 6-week intervention and assessed by Beck depression inventor (BDI),behavioral inhibition/activation system scale(BIS/BAS)at baseline and endpoint.Results:After intervention,the scores of BDI(t=9.319,7.041;P<0.001),BIS(t=3.677,3.075;P<0.01)were sig-nificantly decreased in either BA group or SP group ,while the scores of BAS were significantly increased (t=4.484,2.308;P<0.05).At the end point,the change of BDI,BAS scores were significantly higher in BA group than those in SP group (t=3.189,2.167;P<0.05);There was no difference in BIS scores change between the two groups.The change of BDI scores was negatively correlated with the change of BAS (r=-0.415,-0.353;P<0.05)and not correlated with the change of BIS in BA or SP treated pa-tients.Conclusion:Behavioral activation therapeutics may be useful for depression in elder DM patients , while the enhancement of activation systems may play a role in its effectiveness.
