摘要
目的:探讨心理剧治疗对2型糖尿病伴抑郁患者述情障碍的影响。方法:随机数字法将108例2型糖尿病伴抑郁患者分为观察组与对照组,每组54例。对照组常规药物治疗及心理干预,观察组在对照组基础上加以心理剧治疗,比较各组治疗前后血糖指标[空腹血糖(FBG)、餐后2h血糖(2hPBG)、糖化血红蛋白(HbAlc)]、汉密尔顿抑郁量表(HAMD)、多伦多述情障碍量表(TSA-20)及36条目简明量表(SF-36)情况。结果:观察组治疗后FPG、2h PG、HbAlc水平均显著低于对照组(t=-6.599,-6.135,-5.192;P<0.05);观察组治疗后HAMD评分显著低于对照组的(t=-5.884,P<0.05);观察组治疗后TAS-20量表中因子二、因子三评分及总分均显著低于对照组(t=-5.501,-4.065,-5.659;P<0.05);观察组治疗后SF-36总分显著高于对照组的(t=5.260,P<0.05)。结论:心理剧治疗能明显改善2型糖尿病伴抑郁患者抑郁症状及述情障碍,有利于血糖控制及患者生活质量提高。
Objective:To explore the effect of psychodrama on alexithymia in patients with type 2 diabetes and depression.Methods:A total of 108 patients with type 2 diabetes mellitus and depression were randomly divided into the observation group and the control group,with 54 cases in each group.The control group was given routine drug treatment and psychological intervention,and on the basis,the observation group was given psychodrama.Blood glucose indexes[fasting blood glucose(FBG),postprandial 2 h blood glucose(2 hPBG),glycosylated hemoglobin(HbAlc)],scores of Hamilton Depression Scale(HAMD),Toronto Scale of Alexithymia(TSA-20)and the 36-item Short Form(SF-36)were compared between groups before and after treatment.Results:Levels of FPG,2 h PG and HbAlc in the observation group after treatment were significantly lower than those in the control group(t=-6.599,-6.135,-5.192;P<0.05).After treatment,the HAMD score in the observation group was significantly lower than that in the control group(t=-5.884,P<0.05).After treatment,scores of factor two,factor three and total score in the TAS-20 scale of the observation group were significantly lower than those of the control group(t=-5.501,-4.065,-5.659;P<0.05).After treatment,the total score of SF-36 in the observation group was significantly higher than that of the control group(t=5.260,P<0.05).Conclusion:Psychodrama can significantly relieve depression and alexithymia in patients with type 2 diabetes mellitus and depression,which is good for the improvement of blood glucose control and quality of life.
作者
荆亭
孙红霞
余厚青
JING Ting;SUN Hongxia;YU Houqing(Endocrine Department,Nanjing Hospital Affiliated to Nanjing Medical University,Jiangsu Nanjing210012,China;不详)
出处
《中国健康心理学杂志》
2019年第7期1024-1028,共5页
China Journal of Health Psychology
基金
江苏省自然科学基金(编号:BK2015586)
关键词
2型糖尿病
抑郁
心理剧
述情障碍
Type 2 diabetes mellitus
Depression
Psychodrama
Alexithymia
作者简介
余厚青,E-mail:87944747@qq.com;通信作者:孙红霞,E-mail:sunhongxia-0@163.com.
