中国康复理论与实践2012，Vol.18Issue(4)：376-378,3.DOI:10.3969/j.issn.1006-9771.2012.04.019
理情行为疗法对卒中后抑郁的心理干预研究
Application of Rational-emotive-behavior Therapy for Patiens with Poststroke Depression
摘要
Abstract
Objective To explore the effect of the rational-em otive-behavior therapy (REBT) on mood, cognition and activities of daily living (ADL) of patients with posts trek e depression (PSD). Methods SO PSD patients were divided into control group (n=40) and observation group (n=40). Both groups were given Prozac (20 mg/d) for 8 weeks, and the observation group received REBT (3 times per week, 20 mm every time) additionally. Hamilton Rating Scale for Depression (11AMD), Mini Mental State Examination (MMSF,) and Barthel Index (Bl) were evaluated before and after treatment. Results After 8-week treatment, the scores of HAMD in two groups reduced significantly (P<0.01), and the scores of MMSE and BI increased significantly (P<0.01). The scores of HAMD were lower in the observation group than in the control group (P<0.05), and the scores of MMSE and BI were higher in the observation group than in the control group (P<0.05). The Bl score was related with sleeping disorder in control group (P<0.Q5). The Bl score was both related with sleeping disorder and somatiza-tion in the observation group (/J<0.05). There was no significant difference in the extent of effectiveness on depression between two groups CP>0.05), but there was the trend that the efficacy of the observation group was better than the control group. Conclusion REBT combined with antidepressant drugs can better relieve the symptoms of depression and improve cognitive function and ADL of PSD patients. The improvement of somatization and sleep disorders by REBT has a relationship with the enhancement of ADL.关键词
卒中后抑郁/理情行为疗法/认知功能/日常生活活动能力Key words
pos tstroke depression/ rational-emotive-behavior therapy/ cognition/ activities of daily living分类
医药卫生引用本文复制引用
何俊利,屈云,杜晓霞,孙蓉,刘鸣,宋鲁平,张通..理情行为疗法对卒中后抑郁的心理干预研究[J].中国康复理论与实践,2012,18(4):376-378,3.基金项目
1.国家自然科学基金(C030307) （C030307）
2.国家"十一五"科技支撑计划(2006BAI01A14、2008BAI50B00) （2006BAI01A14、2008BAI50B00）
3.中国康复研究中心课题(2010-15). （2010-15）
