Effect of cognitive-behavioral therapy combined with family rehabilitation therapy on improving depression patients
10.3760/cma.j.issn.1672-7088.2019.35.002
- VernacularTitle: 认知行为疗法联合家庭康复干预对改善抑郁症患者效果的影响
- Author:
Xuehong CHEN
1
;
Yan FENG
;
Haiyan LI
Author Information
1. Department of Medical Psychology, Hainan Anning Hospital, Haikou 570206, China
- Publication Type:Journal Article
- Keywords:
Depression;
Cognitive behavior;
Family rehabilitation therapy;
Coping style
- From:
Chinese Journal of Practical Nursing
2019;35(35):2725-2730
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of cognitive-behavioral therapy combined with family rehabilitation therapy on improving depression patients.
Methods:Totally 82 depressive patients admitted to our hospital from February 2016 to January 2017 were randomly divided into the control group and the observation group according to the random number table method, with 41 cases in each group. Patients in the control group were treated with family rehabilitation therapy, while the patients in the observation group were treated with cognitive behavioral therapy on the basis of family rehabilitation therapy. After 12 months of intervention, the patients in the observation group were treated with cognitive behavioral therapy. The treatment efficiency, psychological status, coping style and medication compliance of the two groups were compared.
Results:After intervention the scores of Self-rating Depression Scale (SDS) and Hamilton Depression Scale (HAMD) in the observation group were (31.08±4.83), (14.14±3.52) points respectively, which were significantly lower than (36.97±2.73), (16.68 ±2.14) points of the control group (t=-6.789,-3.948, P < 0.01). The effective rate of the observation group was 97.56% (40/41), which was significantly higher than 70.05% (32/41) of the control group, and the difference was statistically significant (χ2=5.581, P<0.05). The scores of "problem solving" and "help seeking" items in the observation group were (1.66±0.18) and (1.81±0.21) respectively, significantly higher than (1.39±0.11), (1.48±0.13) of the control group; "avoidance" and "self-blame" items were (1.33±0.12) and (1.47±0.14) respectively, significantly lower than (1.58±0.19), (1.48±0.13) in the control group, and the difference was statistically significant (t=-8.349-8.555, P < 0.05). After treatment, the compliance of the observation group was significantly better than that of the control group (χ2= 8.902, P < 0.05).
Conclusion:Cognitive behavioral therapy combined with family rehabilitation therapy for depression patients can effectively improve the bad mood of patients, improve their medication compliance, and achieve better clinical treatment results.
