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目的探讨注意偏向矫正训练治疗青少年抑郁症的短期和长期效应。方法于2012年8月-2015年2月在本院共采集了86例青少年抑郁患者,随机分为对照组和观察组,各43例,观察组给予常规抗抑郁药物治疗+注意偏向矫正训练,对照组给予常规抗抑郁药物治疗+安慰剂训练,治疗前用流调用抑郁自评量表(CES-D)以及汉密尔顿抑郁量表(HAMD)对两组患者抑郁情况进行评估,治疗和训练4周及24周重新评估,同时对治疗训练前后两组患者注意偏向分数、抑郁症状个数进行比较。结果两组患者在治疗前注意偏向分数、抑郁症状个数、CES-D以及HAMD评分组间无明显差异(P>0.05)。经4周的治疗和训练,两组患者注意偏向分数、抑郁症状个数、CES-D HAMD评分均下降,但与治疗前比较无显著差异,同时训练后组间相比,无明显差异(P>0.05)。经24周的治疗和训练,两组患者注意偏向分数、抑郁症状个数、CES-D以及HAMD评分均降低(P<0.05),其中观察组各指标下降情况更为显著(P>0.05)。结论在药物治疗青少年抑郁症的同时,应用注意偏向矫正训练治疗,可更有效地改善病人抑郁情况,长期效应明显,效果理想,推荐应用。
Objective To investigate the short-term and long-term effects of attention-deficit-correcting training on adolescent depression. Methods A total of 86 adolescent depression patients were collected in our hospital from August 2012 to February 2015. They were randomly divided into control group and observation group, 43 cases in each group. The observation group was given conventional antidepressant drug therapy plus attentional bias correction training, The control group was given conventional antidepressant drug plus placebo training. Before treatment, the depressive symptoms of both groups were evaluated by CES-D and Hamilton Depression Rating Scale (HAMD) before treatment. The patients were treated and trained for 4 weeks And 24 weeks to re-evaluate, at the same time before and after treatment training attention bias scores, the number of depression symptoms were compared. Results Before treatment, there were no significant differences between the two groups in attention bias scores, the number of depressive symptoms, CES-D and HAMD scores (P> 0.05). After 4 weeks of treatment and training, attention deficit scores, the number of depression symptoms, CES-D HAMD scores decreased, but no significant difference compared with before treatment, while there was no significant difference between the two groups after training (P > 0.05). After 24 weeks of treatment and training, the attention deficit scores, the number of depressive symptoms, CES-D and HAMD scores decreased in both groups (P <0.05). The decline of each index in the observation group was more significant (P> 0.05). Conclusions In the treatment of depression in children and adolescents, the application of attention bias correction training can be more effective in improving patient depression, long-term effect is obvious, the effect is ideal, and recommended.