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目的观察心理治疗对帕金森病伴发抑郁状态的疗效。方法对60例帕金森病伴抑郁状态的患者,进行汉密尔顿抑郁量表(HAMD)及总体幸福感量表(GWB)评分后,随机分为两组,每组均30例。对照组给予常规抗帕金森病药物治疗;实验组除给予常规抗帕金森病药物治疗外并进行心理治疗。治疗3周后再进行HAMD评分及总体幸福感量表(GWB)评分,计算治疗前后HAMD评分的减分率;比较两组患者治疗前后HAMD评分、减分率及总体幸福感评分,进行统计学分析。结果两组患者治疗后HAMD评分均有显著下降,但实验组治疗后HAMD评分下降更多,治疗前后减分率更高,均具有显著性统计学意义;治疗后实验组总体幸福感6个因子的评分明显比对照组升高且差异明显。结论心理治疗对帕金森病伴发抑郁状态具有很好的疗效,能较好地减轻帕金森患者的抑郁症状。
Objective To observe the effect of psychological therapy on the status of Parkinson’s disease with depression. Methods Sixty patients with Parkinson’s disease accompanied by depression were divided into two groups randomly according to the Hamilton Depression Rating Scale (HAMD) and the Gross Well-Being Scale (GWB). Each group had 30 patients. The control group was given conventional anti-Parkinson’s disease drug treatment; in addition to conventional experimental anti-Parkinson’s disease drug treatment and psychological treatment. After 3 weeks of treatment, HAMD score and GWB score were calculated to calculate the reduction rate of HAMD score before and after treatment. HAMD score, reduction rate and overall happiness score were compared between the two groups before and after treatment, analysis. Results After treatment, the HAMD scores of both groups were significantly decreased, but the HAMD scores of the experimental group dropped more and the reduction rates were higher before and after treatment, both of which were statistically significant. After treatment, the overall happiness of the experimental group was 6 factors Score significantly higher than the control group and the difference was significant. Conclusions Psychotherapy has a good effect on the state of Parkinson’s disease with depression and can alleviate the depression symptoms in Parkinson’s patients.