张延丞 张久祥

【摘要】 目的：运用观知疗法对抑郁症患者进行治疗，评估其对患者抑郁情绪的治疗效果。方法：选取2023年3—10月北京国奥心理医院100例抑郁症患者作为研究对象，随机分为两组即治疗组、对照组，每组50例。对照组患者采用药物治疗，治疗组同时应用药物及观知疗法进行治疗。比较对照组和治疗组干预治疗前后的自传体记忆评分、自我认知能力及消极情绪。结果：在经过观知疗法8周的干预治疗后，治疗组自传体记忆和自我认知能力评分分别为（6.29±0.12）分和（120.69±5.73）分，均比对照组的两项评分高，差异均有统计学意义（P<0.05）。干预治疗8周后，治疗组患者的汉密尔顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）评分均明显低于对照组，差异均有统计学意义（P<0.05）。结论：在

常规药物治疗的基础上，采用观知疗法对抑郁症患者抑郁状态的治疗效果更佳，值得未来进行临床推广应用。

【关键词】 抑郁症 观知疗法 干预效果

The Intervention Effect of Observational Therapy on Depression in Patients with Depression/ZHANG Yancheng， ZHANG Jiuxiang. //Medical Innovation of China， 2024， 21（14）： 0-102

[Abstract] Objective： To use observational therapy to treat patients with depression and evaluate its therapeutic effect on their depressive mood. Method： From March to October 2023， 100 depression patients from Beijing Guoao Psychological Hospital were selected as the research subjects and randomly divided into two groups： the treatment group and the control group， with 50 patients in each group. Patients in the control group were treated with medication， while patients in the treatment group were treated with both medication and observational therapy. The autobiographical memory， self ability and negative emotion scores before and after treatment between the control group and the treatment group were compared. Result： After 8 weeks of intervention with observational therapy， the autobiography memory and self ability scores of the treatment group were （6.29±0.12） scores and （120.69±5.73） scores， which were higher than those of the control group， the differences were statistically significant （P<0.05）. After 8 weeks of intervention treatment， Hamilton depression scale （HAMD） and Hamilton anxiety scale （HAMA） scores of patients in the treatment group were significantly lower than those in the control group， the differences were statistically significant （P<0.05）. Conclusion： On the basis of conventional drug treatment， the use of observational therapy has a better therapeutic effect on depression in patients with depression， and is worthy of clinical promotion and application in the future.

[Key words] Depression Observational therapy Interventional efficacy

First-author's address： Shandong University of Traditional Chinese Medicine， College of Traditional Chinese Medicine， Jinan 250001， China

doi：10.3969/j.issn.1674-4985.2024.14.024

抑郁症作为一种当今世界最为流行的精神障碍，显著特征为持续的心境低落，同时伴随兴趣减退和愉快感的消退，抑郁症难治且易反弹，发病持续时间长，易给患者造成深度心理创伤[1]。抑郁症多由先天遗传、生物学、社会和环境等因素引发[2]。典型的症状包括情绪低落、失眠、食欲改变、疲劳、自卑感或无价值感、过度自责、注意力分散等[3]。病情加重后甚至会出现幻觉、妄想等症状，甚至自杀。据世界卫生组织报告显示，抑郁症影响全球约2.8亿人，复发率高达80%，约15%的患者最终会选择自杀[4]。被世界卫生组织列为心理疾病首位，我国目前约有9 800万人口遭受着抑郁症或抑郁情绪的困扰[5]。

1 资料与方法

1.1 一般资料