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心理干预结合药物治疗对青少年抑郁患者心理防御机制的影响

徐晓津 缪楹 徐艳芩 房茂胜

中国健康心理学杂志2019,Vol.27Issue(2):173-176,4.
中国健康心理学杂志2019,Vol.27Issue(2):173-176,4.DOI:10.13342/j.cnki.cjhp.2019.02.004

心理干预结合药物治疗对青少年抑郁患者心理防御机制的影响

Effect of psychological intervention combined with drug therapy on the psychological defense mechanism of adolescents with depression

徐晓津 1缪楹 1徐艳芩 1房茂胜1

作者信息

  • 1. 中国.湖北省武汉市精神卫生中心精神科 430000
  • 折叠

摘要

Abstract

Objective:To explore the effect of psychological intervention combined with drug therapy on the psychological defense mechanism of adolescents with depression.Methods:A total of 172 adolescents were divided into the observation group and the control group by the random number table method, 86 cases in each group.The control group was treated with oral antidepressant drugs, while on the basis of oral antidepressant drugs, the observation group was given psychological therapy.The depressive symptoms of patients were evaluated with the Hamilton Depression Scale (HAMD) , Self-rating Anxiety Scale (SAS) and symptom checklist 90 (SCL-90) .The personality and defense mechanism of patients were studied by Minnesota Multiphasic Personality Inventory (MMPI) and Defense Style Questionnaire (DSQ) .Results:Scores of HAMD, SAS and SCL-90 of the two groups decreased after treatment, and the scores of observation group were significantly better than those of the control group after treatment (t=-9.785, -5.460, -9.511;P<0.05) .Scores of hypochondriasis, depression, hysteria and athopia in MMPI of the observation group after treatment were significantly lower than those of the control group (t=-8.600, -9.134, -4.530, -7.784;P<0.05) .The immature defense mechanism score of the observation group decreased, while the mature defense mechanism score increased, and scores of immature, mature and intermediate defense mechanism of the observation group were significantly better than those of the control group after treatment (t=-2.884, 2.300, 2.488, P<0.05) .Conclusion:Psychological intervention combined with drug therapy can effectively improve the immature defense style of adolescents with depression, change adverse personality characteristics such as extreme and hysteria, and relieve symptoms of depression.Compared with the single drug therapy, the curative effect is better.

关键词

心理干预/药物治疗/青少年抑郁/心理防御机制

Key words

Psychological intervention/Drug therapy/Adolescent depression/Psychological defense mechanism

分类

医药卫生

引用本文复制引用

徐晓津,缪楹,徐艳芩,房茂胜..心理干预结合药物治疗对青少年抑郁患者心理防御机制的影响[J].中国健康心理学杂志,2019,27(2):173-176,4.

中国健康心理学杂志

2096-4811

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