杨潇,杨秀芳,马小红.支持性心理治疗在新冠肺炎患者中的应用[J].四川精神卫生杂志,2021,(3):231-234.
支持性心理治疗在新冠肺炎患者中的应用
Application of supportive psychotherapy among COVID-19 positive patients
投稿时间:2020-11-23  
DOI:10.11886/scjsws20201123002
中文关键词:  新冠肺炎  精神心理健康  支持性心理治疗
英文关键词:COVID-19  Mental health care  Supportive psychotherapy
基金项目:国家自然科学基金面上项目(项目名称:抑郁症诊断与治疗评估的多模态生物学标记探索研究,项目编号:81671344);国家自然科学基金青年科学基金项目(项目名称:基于神经认知及优化的多模态脑影像学的抑郁症疗效预测研究,项目编号:82001432)
作者单位邮编
杨潇 四川大学华西医院四川 成都 610041 610041
杨秀芳 四川大学华西医院四川 成都 610041 610041
马小红 四川大学华西医院四川 成都 610041 610041
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中文摘要:
      目的 探讨支持性心理治疗对改善新冠肺炎患者精神心理问题的作用,为新冠肺炎此类突发疫情的早期心理干预提供参考。方法 选取2020年2月1日-3月1日在武汉大学人民医院重症监护病房住院治疗的35例新冠肺炎重症患者为研究对象,进行为期2周的支持性心理干预。于干预前和干预2周后,采用匹兹堡睡眠质量指数量表(PSQI)、患者健康问卷抑郁量表(PHQ-9)、广泛性焦虑量表(GAD-7)和社会支持评定量表(SSRS)对患者的睡眠质量、抑郁、焦虑情绪和社会支持水平进行评定。结果 检出32例(91.43%)患者存在失眠,31例(88.57%)存在焦虑症状,32例(91.43%)存在抑郁症状,29例(82.86%)表示感受到社会支持不足。干预2周后,患者PSQI、GAD-7和PHQ-9评分均低于干预前(t=5.272、5.475、4.621,P均<0.01),SSRS评分较干预前高(t=-4.639,P<0.01)。干预后,存在失眠、焦虑、抑郁、感受到社会支持不足的患者比例均低于干预前(χ2=18.714、16.232、16.970、4.480,P均<0.01)。结论 支持性心理治疗可能有助于改善新冠肺炎患者的焦虑、抑郁情绪和睡眠质量。
英文摘要:
      Objective To explore the role of supportive psychotherapy in mental health improvement of COVID-19 positive patients, and to provide references for the implementation of early psychological intervention measures in response to the sudden epidemic outburst, such as COVID-19.Methods A total of 35 patients with severe COVID-19 admitted to ICU ward of Wuhan People’s Hospital from February 1 to March 1, 2020 were enrolled in this study. All the selected individuals received a 2-week supportive psychotherapy. Then Pittsburgh Sleep Quality Index (PSQI), Patients’ Health Questionnaire Depression Scale-9 item (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7) and Social Support Rating Scale (SSRS) were used to evaluate the sleep quality, depression, anxiety and social support of participants at the baseline and the 2nd week of the intervention.Results Insomnia was detected in 32 patients (91.43%), anxiety symptoms in 31 (88.57%), depressive symptoms in 32 (91.43%), and 29 patients (82.86%) reported feeling a lack of social support. After 2 weeks of intervention, the PSQI, GAD-7 and PHQ-9 scores decreased (t=5.272, 5.475, 4.621, P<0.01), and SSRS score increased (t=-4.639, P<0.01). After the intervention, the proportion of patients with insomnia, anxiety, depression and lack of social support was also decreased (χ2=18.714, 16.232, 16.970, 4.480, P<0.01).Conclusion Supportive psychotherapy may ameliorate anxiety, depression and sleep quality in COVID-19 patients.
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