《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (12): 1141-1143.

• 论文 • 上一篇    下一篇

卒中后抑郁患者的心理咨询效果分析

高飞，朱静，彭静婷   

  1. 首都医科大学附属北京同仁医院神经内科，北京市100730。
  • 收稿日期:2012-04-23 修回日期:2012-06-04 出版日期:2012-12-25 发布日期:2012-12-25

Effect of Psychological Consultation on post Stroke Depression

GAO Fei, ZHU Jing, PENG Jing-ting.   

  1. Department of Neurology, Beijing Tongren Hospital, Beijing 100730, China
  • Received:2012-04-23 Revised:2012-06-04 Published:2012-12-25 Online:2012-12-25

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被引次数

11

摘要： 目的探讨对脑卒中患者进行早期筛查及心理治疗的效果。方法对80 例首次发生脑卒中患者采用17 项汉密尔顿抑郁评定量表(HAMD-17)进行评分，存在卒中后抑郁的患者随机分成对照组(n=21)和干预组(n=21)，两组均进行康复训练，干预组在此基础上进行心理咨询，2 个月后再次进行HAMD-17 评分。同时采用改良Barthel 指数(MBI)评价日常生活活动能力的变化。结果卒中后抑郁的发生率为52.5%，治疗后干预组HAMD-17 评分明显低于对照组(P<0.01)。两组MBI治疗前后均无显著性差异(P>0.05)。结论早期筛查和心理治疗有利于卒中后抑郁的康复。

关键词: 脑卒中, 抑郁, 心理咨询, 认知心理治疗

Abstract: Objective To explore the effect of early screening and psychotherapy on post stroke depression. Methods 80 patients with stroke at first onset were assessed with Hamilton Rating Scale for Depression (HAMD-17). Patients with depression were divided into control group (n=21) and intervention group (n=21). Both groups received rehabilitation therapy and the intervention group received psychotherapy in addition. They were assessed with HAMD again 2 months after treatment. All of them were evaluated with modified Barthel index (MBI). Results 52.5% patients had post stroke depression. The score of HAMD-17 was lower in the intervention group than in the control group (P<0.01). There was no significant difference in MBI between 2 groups after treatment (P>0.05). Conclusion Early screening and psychotherapy can facilitate the recovery of patients with depression after stroke.

Key words: stroke, depression, psychological consultation, cognitive psychotherapy