药物联合心理剧治疗对女性抑郁症患者自尊、心理资本的影响
The effect of medication combined with psychodrama therapy on self-esteem and psychological capital of female patients with depression
投稿时间:2020-08-30  修订日期:2020-11-21
DOI:
中文关键词:  抑郁症,女性,(易术)心理剧,自尊,心理资本
英文关键词:depression, female, (Yi Shu) psychodrama, self-esteem, psychological capital
基金项目:]:2016年重庆市卫生计生委医学科研项目(2016ZDXM003),2018年重庆市技术创新与应用示范项目(cstc2018jscx-msybX0118).
作者单位地址
夏兴文 重庆医科大学附属第一医院精神科 重庆医科大学附属第一医院
王尔东 苏州大学心理人工智能协同创新中心 
周俊鑫 重庆医科大学附属第一医院精神科 
王培佳 重庆医科大学附属第一医院精神科 
胡潇予 重庆医科大学附属第一医院精神科 
李雪瑞 重庆医科大学附属第一医院精神科 
黄杰 重庆医科大学附属第一医院精神科 
胡  华* 重庆医科大学附属第一医院精神科
苏州大学心理人工智能协同创新中心 
重庆医科大学附属第一医院精神科
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中文摘要:
      目的:探索药物联合心理剧治疗对女性抑郁症患者自尊、心理资本的影响。方法:本研究根据入组及排除标准随机纳入观察组和对照组共47名于重庆医科大学附属第一医院精神科就诊的服用一线抗抑郁药物治疗的女性抑郁症患者,进行前瞻性对照研究。在一线抗抑郁药物治疗的基础上,观察组(24名)予以每间隔2月1次,每次4天,总共进行3次易术心理剧治疗。对照组(23名)予以一般健康教育。干预前和干预半年结束时对两组患者进行自尊(SES)及心理资本(PPQ)的水平进行测试,并进行统计分析。结果:1.两组患者干预前一般资料(年龄、受教育时间、婚姻、人均月收入、有无职业、服药种类)差异均无统计学意义(p>0.05)。2.两组患者重复测量方差分析结果:自尊、心理资本及其各维度在时间测量与分组干预交互作用方面具有统计学意义(p<0.05)。3.简单效应分析结果:干预前,观察组及对照组在自尊、心理资本及其各维度得分差异无统计学意义(p>0.05);干预半年后组内比较,观察组SES量表、PPQ总分及其各维度评分均有升高,其差异具有统计学意义(p<0.05),对照组SES总分、心理资本乐观维度评分升高,差异具有统计学意义(p<0.05),其余量表评分差异无统计学意义(p>0.05);干预半年后组间比较,观察组SES、PPQ总分及其各维度评分变化值均高于对照组,其差异具有统计学意义(p<0.05)。结论:抗抑郁药物联合心理剧治疗可明显改善女性抑郁症患者自尊及心理资本,且其效果较抗抑郁药物联合一般健康教育治疗更明显。
英文摘要:
      Objective: to explore the effect of drug combined with Psychodrama on self-esteem and psychological capital of female patients with depression. Methods: according to the inclusion and exclusion criteria, a total of 47 female depression patients in the First Affiliated Hospital of Chongqing Medical University, who were treated with first-line antidepressant drugs, were randomly divided into observation group and control group. On the basis of first-line antidepressant treatment, the observation group (24 cases) was given once every 2 months, 4 days each time, a total of 3 times easy operation psychological drama treatment. The control group (23) received general health education. The levels of self-esteem (SES) and psychological capital (PPQ) of the two groups were tested before the intervention and at the end of half a year. Results: 1. There was no significant difference in general information (age, education time, marriage, per capita monthly income, occupation, type of medication) between the two groups before intervention (p>0.05). 2. The results of repeated measures analysis of variance of the two groups of patients: self-esteem, psychological capital and their dimensions are statistically significant in the interaction of time measurement and group intervention (p<0.05). 3. Simple effect analysis results: Before the intervention, the observation group and the control group had no statistically significant differences in self-esteem, psychological capital and their scores in each dimension (p>0.05); after half a year of intervention, the observation group SES scale, The total score of PPQ and each dimension increased, and the difference was statistically significant (p<0.05). The control group's SES total score and psychological capital optimism dimension score increased, and the difference was statistically significant (p<0.05). The scores of the other scales were not statistically different Scientific significance (p>0.05); Comparing the groups after the intervention for half a year, the total scores of SES and PPQ in the observation group and the changes in scores of each dimension were higher than those in the control group, and the difference was statistically significant (p<0.05). Conclusions: Antidepressant drugs combined with (Yi Shu) psychodrama therapy can significantly improve the self-esteem and psychological capital of female patients with depression, and its effect is more obvious than antidepressant drugs combined with general health education therapy.
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