摘要
目的探讨家庭心理干预对老年抑郁症家庭环境和预后的影响。方法使用家庭环境评定量表 (FES CV)、汉密顿抑郁量表 (HAMD)和大体评定量表 (GAS)等评定工具 ,把 78例老年抑郁症患者及家属随机分为两组 ,进行家庭心理干预的对照研究。结果经过一年家庭心理干预 ,两组FES CV的亲密度、情感表达、成功性、文化性、娱乐性、控制性和矛盾性各因子分研究组分别为 7.16± 2 .16,6.2 5± 2 .2 6,6.78± 1.78,5 .16± 2 .5 0 ,4.3 0± 2 .2 3 ,4.5 6± 1.49,2 .49± 1.64 ;对照组分别为 5 .86± 1.85 ,4.86± 1.85 ,5 .87± 1.96,3 .46± 2 .10 ,2 .87± 1.93 ,3 .81± 1.62 ,3 .2 5± 1.78两组有显著性差异 (P <0 .0 5或P <0 .0 1) ;三年后随防 ,两组FES CV的亲密度、情感表达、成功性、文化性、娱乐性、控制性和矛盾性各因子分仍有显著性差异 (P <0 .0 5或P <0 .0 1) ;两组患者的病情复发和预后有显著性差异 (P <0 .0 5 )。结论老年抑郁症的病情复发和预后可能与家庭环境有关 ;家庭心理干预可改善老年抑郁症家庭环境的预后。
Objective To explore the effect of the family mental interference on the senile depression family environment and,to the prognosis.Methods78 patients suffered with depression and their families were divided into two randomly groups, then the family mental interference was carried out in each group by using assessment tools,such as Family Environment Assessment Scale( FES- CV), Hanmilton Depression scale(HAMD),Gross assessment scale(GAS) . ResultsAfter one year,the two groups score of FES-CV intimate degree, emotion expression, knowledge, amusement, control and contradiction has distinctly different(P<0.05 or P< 0.01). After three years, the score of the two groups’intimate degree,emotion expression, success, culture, amusement control and contradiction still has distinct difference (P<0.05 orP<0.01). Two groups of patients also have distinctly different prognosis(P<0.05). ConclusionsThe senile depression recurrence and its prognosis may have some relations with family environment. Which can ameliorate the prognosis of the family environment of the senile depression.
出处
《中国行为医学科学》
CSCD
2004年第2期167-168,共2页
Chinese Journal of Behavioral Medical Science
关键词
家庭心理干预
老年抑郁症
家庭环境
预后
Depression senile
Family mental interfere
Family environment
Prognosis
