摘要

【摘要】
目的 探讨特定认知行为技术对中重度抑郁症住院患者的效果。

方法 选取2019年4月~2020年8月医院收治的124例中重度抑郁症住院患者利用随机数字表分为试验组与对照组。对照组采用基础药物配合心理治疗，试验组另采用特定认知行为技术治疗。对比2组汉密尔顿抑郁评分（Hamilton depression scale，HAMD）评分、可重复的成套神经心理状态测量（Repeatable Battery for the Assessment of Neuropsychological Status，RBANS）和自我接纳程度（中文版治疗自我调节问卷）评分，不良反应。

结果 2组HAMD评分均逐渐降低（P＜0.05），且治疗后试验组均低于对照组（P＜0.05），试验组减分率高于对照组（P＜0.05）；治疗后2组神经心理状态、自我接纳程度评分均高于治疗前（P＜0.05），且试验组高于对照组（P＜0.05）；2组不良反应发生率差异无统计学意义（P＞0.05）。

结论 特定认知行为技术可缓解中重度抑郁症住院患者的抑郁情绪，改善神经心理状态，提高自我接纳程度，且安全。

关键词：【关键词】特定认知行为技术；抑郁症；神经心理状态；自我接纳程度

ABSTRACT

[Abstract]
Objective To explore the application effect of specific cognitive behavioral techniques in inpatients with moderate to severe depression.

Methods A total of 124 inpatients with moderate to severe depression admitted to the hospital from April 2019 to August 2020 were divided into experiment group and control group by a random number table. The control group was given basic medication combined with psychotherapy, while the experiment group was given specific cognitive behavioral treatment another. Depression mood (Hamilton depression scale, HAMD) scores, RBANS (Repeatable Battery for the Assessment of Neuropsychological Status), Self-acceptance (Chinese version of therapeutic self-regulation questionnaire) scores and adverse reactions were compared between the 2 groups.

Results The HAMD scores of both groups gradually decreased (P<0.05), and after treatment, those of the experimental group were lower than those in the control group (P<0.05), and the score reduction rate of the experimental group was higher than that of the control group (P<0.05). After treatment, the scores of neuropsychological status and self-acceptance in both groups were higher than those before treatment (P<0.05), and the scores in experimental group were higher than those in the control group (P<0.05). There was no statistically significant difference in the incidences of adverse reactions between the two groups (P>0.05).

Conclusion   The application of specific cognitive behavioral techniques in inpatients with moderate to severe depression can relieve negative emotions, improve neuropsychological state, improve the degree of self-acceptance, which is safe.

Key words: [Key words] Specific cognitive behavioral techniques; Depression; Neuropsychological state; Self-acceptance