积极心理学视角下的箱庭疗法联合药物治疗对新型冠状病毒感染疫情背景下产后抑郁患者的疗效OA
Effect of sandplay therapy combined with drug therapy on postpartum depression in the context of COVID—19 epidemic situation from the perspective of positive psychology
目的:探讨积极心理学视角下的箱庭疗法联合药物治疗对新冠疫情背景下产后抑郁症患者的干预的过程及临床效果.方法:选取2020年8月—2022年12月某院收治的106例产后抑郁患者为研究对象,根据治疗方式不同分为对照组(53例)和观察组(53例).对照组给予单纯抗抑郁药物治疗,观察组采用积极心理学视角下的箱庭疗法联合药物治疗.采用抑郁自评量表(SDS)、焦虑自评量表(SAS)、爱丁堡产后抑郁量表(EPDS)、总体幸福感量表(GWB)、匹兹堡睡眠质量指数(PSQI)对治疗前后两组和对两组治疗前后抑郁、焦虑程度改善情况,幸福感、睡眠质量进行评价.结果:治疗后,两组患者抑郁程度均降低,抑郁自评量表(SDS)评分均降低,观察组更明显(t=-9.737,P＜0.05);焦虑程度均降低,焦虑自评量表(SAS)评分均降低,观察组更明显(t=-10.093,P＜0.05).治疗后,两组患者爱丁堡产后抑郁量表(EPDS)评分均降低,观察组更明显(t=-10.045,P＜0.05)、治疗后,两组总体幸福感提升,总体幸福感量表(GWB)评分总分均升高,观察组在幸福感总分及对生活的满足和兴趣、对情感和行为的控制、松弛和紧张3个维度存在显著性差异(t=10.644,7.761,9.976,9.640;P＜0.05),观察组得分显著高于对照组,其余维度不存在显著性差异.治疗后,睡眠质量均改善,观察组更明显,匹兹堡睡眠质量指数(PSQI)观察组的得分显著低于对照组(t=-17.027,P＜0.05).结论:积极心理学视角下的箱庭疗法联合药物治疗比单纯的药物治疗更能够有效缓解新冠疫情背景下产后抑郁患者抑郁、焦虑情绪,改善睡眠质量,提高其生活的幸福感,帮助其获得个人成长.
Objective:To explore the intervention process and clinical effect of sandplay therapy combined with drug therapy on postpartum depression patients under the background of COVID—19 epidemic.Methods:From August 2020 to December 2022,106 patients with postpartum depression were divided into control group(53 cases)and ob-servation group(53 cases).The control group was treated with simple antidepressant therapy,and the observation group was treated with sandplay therapy combined with drug therapy from the perspective of positive psychology.Self—rating Depression Scale(SDS),Self—rating Anxiety Scale(SAS),Edinburgh Postpartum Depression Scale(EP-DS),Global Well—being Scale(GWB)and Pittsburgh Sleep Quality Index(PSQI)were used to evaluate the improve-ment of depression,anxiety,well—being and sleep quality before and after treatment.Results:After treatment,the degree of depression decreased in both groups,and the score of SDS in the observation group was significantly lower than that in the control group(t=-9.737,P＜0.05).The degree of anxiety and the score of Self—rating Anxiety Scale(SAS)were all decreased,which was more obvious in the observation group(t=-10.093,P＜0.05).After treat-ment,the scores of Edinburgh Postpartum Depression Scale(EPDS)in the two groups were significantly decreased,which was lower in the observation group(t=-10.045,P＜0.05).After treatment,the total well—being of the two groups was improved,and the total score of GWB was increased.There were significant differences in the total score of well—being,satisfaction and interest in life,control of emotion and behavior,relaxation and tension in the observa-tion group(t=10.644,7.761,9.976,9.640;P＜0.05);The scores of the observation group were significantly higher than those of the control group(P＞0.05).After treatment,the sleep quality of the observation group was improved,and the PSQI score of the observation group was significantly lower than that of the control group(t=-17.027,P＜0.05).Conclusion:Sandplay therapy combined with drug therapy from the perspective of positive psychology is more effective in alleviating depression and anxiety,improving the quality of sleep,improving the well—being of life,and helping them to grow up.
尤佳;吕家葆;杨璐;贺连生;梁银;王兴生;贺海玉
河北省秦皇岛市九龙山医院(秦皇岛市精神卫生中心) 066000
基础医学
临床心理学产后抑郁积极心理学箱庭疗法新型冠状病毒感染疫情背景
Clinical psychologyPostpartum depressionPositive psychologySandplay therapyCOVID—19 epi-demic situation
《中国健康心理学杂志》 2024 (001)
52-59 / 8
2020年河北省青年科技课题(编号:20201322)
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