魏敏 郑榕艳 胡耀华 黄婷 程文桃 陈元生

【摘要】 目的：对抑郁症患者治疗中实施注意偏向纠正训练的效果进行观察。方法：选取2018年2月-2019年2月笔者所在医院收治的68例抑郁症患者，随机分为观察组与对照组，各34例。两组均给予常规抗抑郁药物治疗，对照组同时给予安慰剂训练，观察组同时给予注意偏向纠正训练，对两组训练4、24周效果进行对比。结果：治疗前，两组抑郁症状个数、注意偏向评分、HAMD评分、CES-D评分比较差异无统计学意义（P>0.05）;治疗4周后，两组各指标与治疗前比较差异无统计学意义（P>0.05），且两组间各指标比较差异无统计学意义（P>0.05）;治疗24周后，两组抑郁症状数均少于治疗前，注意偏向评分、HAMD评分、CES-D评分均低于治疗前，且观察组各指标均低于对照组，差异均有统计学意义（P<0.05）。結论：在对抑郁症患者治疗时，在常规治疗基础上实施注意偏向纠正训练，对患者抑郁症状有明显改善作用，远期疗效可靠，值得推广。

【关键词】 抑郁症 注意偏向纠正训练 抑郁评分 训练效果

doi：10.14033/j.cnki.cfmr.2020.19.057 文献标识码 B 文章编号 1674-6805（2020）19-0-03

The Application of Attention Bias Correction Training in Treatment of Depression/WEI Min， ZHENG Rongyan， HU Yaohua， HUANG Ting， CHENG Wentao， CHEN Yuansheng. //Chinese and Foreign Medical Research， 2020， 18（19）： -142

[Abstract] Objective： To observe the effect of attention bias correction training in treatment of depression. Method： A total of 68 patients with depression from February 2018 to February 2019 were randomly divided into the observation group and the control group， 34 cases in each. Both groups were given routine antidepressant treatment， the control group was given placebo training at the same time， the observation group was given attention bias correction training at the same time， and the effect of training for 4 weeks and 24 weeks was compared between the two groups. Result： Before treatment， there was no significant difference in the number of depressive symptoms， attention bias score， HAMD score and CES-D score between the two groups （P>0.05）. After 4 weeks of treatment， there was no statistically significant difference in each indicator between the two groups compared with that before treatment （P>0.05）， and there was no statistically significant difference in each indicator between the two groups （P>0.05）. After 24 weeks of treatment， the numbers of depressive symptoms in both groups were lower than those before treatment， and the attention bias score， HAMD score and CES-D score were lower than those before treatment， and all indexes in the observation group were lower than those in the control group， the differences were statistically significant （P<0.05）. Conclusion： In treatment of patients with depression， on the basis of conventional treatment， attention bias correction training can significantly improve the symptoms of patients with depression. The long-term effect is reliable and worthy of promotion.

[Key words] Depression Attention bias corrective training Depression score Training effect

First-authors address： Fuzhou Neuro-psychiatry Hospital， Fuzhou 350008， China

抑郁症属于临床常见精神疾病，使患者在某一时间段内出现无助、悲伤及绝望等低落情绪，给患者的学习、工作、生活均带来影响，如果症状比较严重，患者可出现自残、自杀倾向[1]。近年来，随着人们生活压力的不断增大，抑郁症的发病率逐渐升高，已经成为影响公共健康的问题之一。在抑郁症患者治疗中，除给予患者抗抑郁药物治疗外，注意偏向纠正训练等辅助治疗手段的应用也十分必要。最新研究表明，药物治疗结合森田疗法较单独药物治疗抑郁症状改善更明显[2]。森田疗法对抑郁症的治疗作用在于打破患者被症状所束缚的状态，改善患者注意力固着症状[3]。本次对68例……