认知行为疗法在脑卒中抑郁症患者康复过程中的作用

Cognitive behavioral therapy for patients with post-stroke depression in the restoration process

摘要: 目的:研究认知行为疗法(cognitive behavioral therapy,CBT)在脑卒中抑郁症(post-stroke depression,PSD)患者康复过程中的作用。方法:将40例PSD患者随机均分为观察组和对照组,对照组口服阿米替林,观察组在口服阿米替林同时加用CBT,采用汉密顿抑郁量表(Hamilton depression scale,HAMD)对患者进行测查,检测时间为脑卒中发病后1~11个月,2个月检测1次。结果:在加用CBT后,观察组在6个月后评分均明显低于对照组(P<0.05)。结论:CBT在PSD患者康复过程中有明显的效果。

Abstract: Objective: To investigate the role of cognitive behavioral therapy(CBT) in the restoration process in patients with post-stroke depression(PSD).Methods: Forty patients with PSD were randomly divided into observation group and control group.The control group were administered only Amitriptyline for oral use,while the observation group received CBT in addition to Amitriptyline.All the patients were evaluated by Hamilton depression scale(HAMD) every two months from the first month to the eleventh month after the attack.Results: After using CBT for six months,the HAMD in the observation group was significantly lowered compared with that in the control group(P<0.05).Conclusions: CBT has an obvious effect on patients with PSD in the restoration process.