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題 名 | The Effectiveness of Psychotherapies on Hospitalized Depressive Patients=住院憂鬱症病患心理治療之效應 |
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作 者 | 劉秋平; 何志仁; | 書刊名 | 中華醫學雜誌 |
卷 期 | 58:3 1996.09[民85.09] |
頁 次 | 頁163-170 |
分類號 | 415.985 |
關鍵詞 | 行為治療; 認知心理治療; 支持性團體心理治療; Behavioral therapy; Cognitive therapy; Supportive group therapy; |
語 文 | 英文(English) |
中文摘要 | 背景 在二十世紀中期時對重症憂鬱病患主要是採取支持療法。其後 的幾十年,多種的抗鬱劑逐漸被採用,但同時這些藥物也被發現其治療上的有 限性,如只適用於某些症狀和其副作用等。此時適當地選擇其他治療配合使用 便可能有很大的幫助。本研究目的便在評估住院憂鬱症病患同時接受心理治療 效應所代表的臨床意義。 方法 62位住院重症憂鬱病患經安排分別接受8次行為、認知或支持性團體 心理治療。在治療的過程中有7位由於憂鬱病情的惡化或缺乏心理治療的動機 而中途退出,故實際完成治療的計有55人,其中接受行為治療者為18人,認 知心理治療者為20人和支持性團體心理治療者為17人,另外有16位重症憂鬱 病人未接受任何心理治療,是為控制組。以上所有重症憂鬱病人皆接受抗鬱劑, 包括Amitriptyline,Imipramine或Doxepine。 結果 在治療4週結束後,3組接受心理治療者,其療效較未接受任何心理治 療者在統計學上明顯為佳。在治療4週結束時,抗鬱劑加上心理治療的個案計 有58%憂鬱症狀完全消失,另有21%的個案憂鬱症狀明顯改善,其餘個案則存 留重症憂鬱症的症狀。至於分別接受3種不同心理治療之個案,其療效則無顯 著差異。 結論 由於住院重症憂鬱症患在抗鬱劑加上心理治療之療效較單純使用抗鬱劑 而未接受任何心理治療者明顯為佳,顯示這些住院病人確有接受心理治療之必 要。 |
英文摘要 | Background. Until the middle of the 20th century available treatment for depressive disorders was largely supportive and palliative. In the following decades, monoamine oxidase inhibitors and tricyclic antidepressants have been introduced. Unfortunately, the limitations of these drugs have been increasingly recognized. Thus, agents must be chosen based on their side effect profile, acceptability for long-term prophylaxis and any clinical lore regarding possible syndromal selectivity of response. The role of combination therapies is well recognized in many cases of major depressive disorders. The author's goal of study was to assess the effectiveness of psychotherapies on hospitalized depressive patients. Methods. Sixty-two patients with major depressive disorders (MDD) were treated for eight sessions of behavioral, cognitive, or supportive group psychotherapy. During the treatment period, 16 of these subjects were assigned to a 4-week non- psychotherapeutic treatment control condition. All the above depressive patients received tricyclic antidepressants including Amitriptyline, Imipramine or Doxepine. Results. By the end of four weeks patients in the three psychotherapeutic treatment groups showed significant improvement as compared with the controls. Overall, 58% of the psychotherapeutic treatment samples attained remission by termination; another 21% showed significant improvement. The remainder still met the criteria for MDD at the conclusion of therapy. A number of outcome measures indicated no significant difference for any of the three modalities in obtaining positive results. Conclusions. The therapeutic effect of depressed inpatients responding to these psychotherapies compares favorably with the controls, indicating the efficacy of psychotherapy for treatment of depressive inpatients. |
本系統中英文摘要資訊取自各篇刊載內容。