药物治疗和认知行为疗法结合心理社会支持治疗抑郁症的临床效果 摘要 目的 探讨药物治疗和认知行为疗法结合心理社会支持治疗抑郁症的临床疗效。方法 80例抑郁症患者， 将其随机分为观察组和对照组， 各40例。对照组患者给予药物治疗， 观察组患者在药物治疗的基础上给予认知行为疗法结合心理社会支持治疗。观察比较两组患者的临床疗效。结果 治疗前， 两组汉密尔顿抑郁量表（HAMD）评分比较， 差异无统计学意义（P>0.05）；治疗2、6周后， 两组患者HAMD评分均显著低于治疗前， 且观察组低于对照组， 差异有统计学意义（P＜0.05）。观察组治疗总有效率（95.0%）明显高于对照组（72.5%）， 差异有统计学意义（P＜0.05）。结论 药物治疗和认知行为疗法结合心理社会支持治疗抑郁症患者， 不仅可以有效缓解患者的心理压力， 还能够消除心理障碍， 取得满意的临床效果， 值得临床广泛推广应用。 关键词 药物；认知行为；心理社会支持治疗；抑郁症 Clinical effect by drug therapy and cognitive behavior therapy combined with psychological and social support treatment for depression SUN Bao-min. Department of Psychology， Taian City Central Hospital， Taian 271000， China 【Abstract】 Objective To investigate clinical effect by drug therapy and cognitive behavior therapy combined with psychological and social support treatment for depression. Methods A total of 80 depression patients were randomly divided into observation group and control group， with 40 cases in each group. The control group received drug therapy， and the observation group received additional cognitive behavior therapy combined with psychological and social support treatment to drug therapy. Clinical effects were observed and compared between the two groups. Results Before treatment， there was no statistically significant difference of Hamilton depression scale （HAMD） score between the two groups （P>0.05）. In 2 and 6 weeks after treatment， both groups had obviously lower HAMD scores than those before treatment， and the observation group had lower scores than the control group. Their difference had statistical significance （P＜0.05）. The observation group had obviously higher total effective rate （95.0%） than the control group （72.5%）， and their difference had statistical significance （P＜0.05）. Conclusion Drug therapy and cognitive behavior therapy combined with psychological and social support treatment can not only effectively relieve psychological pressure in patients， but also eliminate their psychological disorder. This method provides satisfactory clinical effect， and it is worth wide clinical promotion and application. 【Key words】 Drug； Cognitive behavior； Psychological and social support treatment； Depression 抑郁症是目前临床上比较常见的一种情感性精神障碍疾病， 该病通常表现为患者认知功能下降、情緒持续低落、兴趣丧失、悲观失望等[1]。临床上认为 该病的发病原因主要与家族遗传、社会、生活以及心理因素等有关。近年来， 随着社会经济的不断发展， 人们的生活节奏也随之加快， 随之带来的精神压力也逐渐加大， 从而导致越来越多的人们患上抑郁症， 严重影响患者的正常生活及生活质量。目前临床上治疗抑郁症主要采取药物治疗， 但治疗效果并不理想[2， 3]。本文中本院主要采用药物治疗配合认知行为疗法结合心理社会支持治疗抑郁症患者， 取得了满意的临床效果， 现详细报告如下。摘要汇编（三）——初级保健老年人抑郁症认知行为疗法的临床效果：一项随机对照试验. 中国全科医学， 2010， 8（4）：451. 本文来源：https://www.wddqw.com/doc/87d4a42ecf1755270722192e453610661ed95a07.html