刘振静 李 璟 李玉焕中国.山东省青岛市精神卫生中心 266034 E-mail:zhenjing1976@163.com 通讯作者 E-mail:yuhuen1967@163.com

    心理治疗对老年抑郁和焦虑共病患者认知功能的影响*

    刘振静 李 璟 李玉焕△

    中国.山东省青岛市精神卫生中心 266034 E-mail:zhenjing1976@163.com △通讯作者 E-mail:yuhuen1967@163.com

    【摘 要】目的:探讨心理治疗对老年抑郁和焦虑共病患者认知功能的影响。方法:将80例老年抑郁和焦虑共病患者按照随机原则分为研究组40例(心理治疗合并抗抑郁药物治疗)和对照组40例(单用抗抑郁药物治疗),疗程为8周,采用简易精神状态检查量表(MMSE)、日常生活能力量表(ADL)于治疗前及治疗第8周末评定疗效。结果:经过治疗,两组认知能力及日常生活能力显著提高。治疗后第8周末,研究组MMSE总分显著高于对照组(t= 2.42,P<0.05)且ADL总分研究组显著低于对照组(t=-2.10,P<0.05)。结论:心理治疗能提高老年抑郁和焦虑共病患者的认知功能,提高生活质量。

    【关键词】老年病人;共病;抑郁;焦虑;心理治疗;认知功能

    The Impact of Psychotherapy on Cognitive Function of Older Patients with Comorbidity of Depression and Anxiety

    Liu Zhenjing,Li Jing,Li Yuhuan

    Qingdao Mental Health Center,Qingdao 266034,China

    【Abstract】 Objective:To investigate the impact of psychotherapy on cognitive function of older patients with comorbidity of depression and anxiety.Methods:80 elder patients with comorbidity depression and anxiety were randomly divided into the study group and the control group.The treatment was conducted for 8 weeks.The two groups were measured by Mini-Mental State Examination(MMSE)and activity of daily living(ADL)before treatment and 8weeks after treatment.Results:After treatment,the study group and the control group had significantly improved in cognitive function and activity of daily living.At the 8th week after the treatment,the study group's total score of MMSE showed significant higher than that of the control group(t=2.42,P<0.05).The study group had lower score of ADL than control group(t=-2.10,P<0.05).Conclusion:Psychotherapy can improve the cognitive function of older patients with comorbidity of depression and anxiety. ......