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目的:探讨箱庭治疗对儿童青少年抑郁症患者的疗效。方法:将20例儿童青少年抑郁症患者随机分为研究组与对照组各10例。对照组选择舍曲林治疗,研究组选择箱庭疗法,进行为期8周的治疗,分别用汉密尔顿抑郁量表(HAMD)、自信心测试量表、临床疗效总评量表(CGI)进行疗效评估。结果:研究组与对照组在治疗第2周末、4周末、8周末进行HAMD、自信心测试评分比较,与治疗前比较差异均有统计学意义。两组间2周末时比较,差异有统计学意义(t=2.42,df=18,P<0.05),而4周末、8周末比较差异无统计学意义(t=0.98、0.48,df=18,P>0.1)。结论:箱庭治疗在儿童青少年抑郁症治疗早期(2周内)起效速度不如对照组,长程治疗(4周、8周)上与对照组无显著性差异。箱庭治疗对儿童青少年抑郁症是有效的,且在提升自信心方面箱庭治疗组优于对照组。
Objective: To investigate the efficacy of box-office therapy on depression in children and adolescents. Methods: 20 cases of depression in children and adolescents were randomly divided into study group and control group, 10 cases each. The control group chose sertraline, and the study group chose box-office therapy for 8 weeks. The Hamilton Depression Rating Scale (HAMD), Self-Confidence Test Scale and Clinical Effectiveness Scale (CGI) were used to evaluate the curative effect. Results: The study group and the control group in the treatment of the second weekend, 4 weekend, 8 weekend HAMD, self-confidence test scores, compared with before treatment were statistically significant differences. The difference between the two groups was statistically significant (t = 2.42, df = 18, P <0.05), but there was no significant difference between the two groups at 2weeks (t = 0.98,0.48, df = 18, P> 0.1). Conclusions: The treatment efficiency of box-chamber in early stage of depression (2 weeks) in children and adolescents is not as good as that in control group. There is no significant difference between long-term treatment (4 weeks, 8 weeks) and control group. Box therapy is effective for depression in children and adolescents, and is superior to control group in improving self-confidence in the treatment group.