团体认知行为治疗对伴发焦虑抑郁的糖尿病患者的疗效

杜昊; 张平

doi:10.19428/j.cnki.sjpm.2020.19648

团体认知行为治疗对伴发焦虑抑郁的糖尿病患者的疗效

杜昊,
张平

Efficacy of group cognitive-behavioral therapy for diabetic patients with anxiety and depression

DU Hao,
ZHANG Ping

摘要

摘要:
目的探讨团体认知行为治疗对伴发焦虑抑郁的糖尿病患者的疗效。
方法采用随机双盲对照试验，选取上海市奉贤区内伴有焦虑抑郁情绪的糖尿病患者42例，分别接受10周的团体认知行为治疗(GCBT)或仅糖尿病健康教育。治疗前后分别采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、席汉残疾量表(SDS)对两组患者进行评估并检测空腹血糖等疗效指标。
结果10周干预结束后，两组被试间空腹血糖值的差异无统计学意义，治疗后两组HAMD、HAMA、SDS评分明显下降，治疗前后两组评分的差异具有统计学意义(F分别为6.801、10.30、5.02，P分别为0.013、0.003、0.031)，实验组治疗前后HAMD差值与病程、学历负相关(r分别为-0.486、-0.541，P分别为0.030、0.014)，而SDS差值与性别差异显著相关，女性SDS评分下降更显著(r=0.582，P=0.007)。
结论团体认知行为治疗有助于改善伴发焦虑抑郁的糖尿病患者的情绪，有利于恢复社会功能和提高生活质量。

Abstract:
ObjectiveTo explore the efficacy of group cognitive-behavioral therapy(GCBT) for diabetic patients with anxiety and depression.
MethodsIn this randomized control study, 42 patients was recruited for treatment of diabetes and allocated them in a randomized manner (1:1) into two groups to receive either 10-weeks GCBT plus regular education or regular education alone.Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), Self-rating Depression Scale(SDS), and fasting blood glucose were measured and evaluated before and after treatment.
ResultsAfter 10 weeks of intervention, the total scores of HAMD, HAMA, and SDS were significantly decreased.Compared with the control group, repeated measures of ANOVA revealed a significant group-by-time interaction(F=6.801, 10.30, 5.02, P=0.013, 0.003, 0.031).The difference of HAMD was negatively correlated with disease duration and education (r=-0.486, -0.541, P=0.030, 0.014), and the difference of SDS was obviously correlated with gender, as the SDS score of women decreased more significantly (r=0.582, P=0.007).
ConclusionGroup cognitive-behavioral therapy can help to improve the mood of diabetic patients with anxiety and depression, rehabilitating their social function and life quality.

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