认知行为疗法和人际关系疗法治疗抑郁症的疗效比较:随机对照研究。

Industrial Psychiatry Journal Pub Date : 2024-01-01 Epub Date: 2024-04-12 DOI:10.4103/ipj.ipj_294_23
Kalpana Srivastava, Kaushik Chatterjee, Jyoti Prakash, Arun Yadav, Suprakash Chaudhury
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引用次数: 0

摘要

背景:抑郁症是各年龄段人群中最常见的精神疾病之一:目的:评估认知行为疗法(CBT)和人际关系疗法(IPT)对抑郁症病例的疗效:研究样本包括根据《国际疾病分类》第 10 次修订版(ICD-10)标准确诊的 52 例重度抑郁障碍(MDD)患者,年龄在 21 至 50 岁之间。他们在应用程序的帮助下被随机分配到 CBT 组和 IPT 组。有两名患者退出了 CBT 组。因此,最终有 50 个病例被纳入研究。共进行了 12 次治疗。所有患者均按规定接受了标准治疗:采用配对样本 t 检验来评估两组(CBT 和 IPT)的组内差异,并采用收益分统计或差异分统计(前测试减去后测试)来比较组间差异。配对样本 "t "检验的结果表明,两组从测试前到测试后的得分在统计学上存在显著差异。IPT组在贝克抑郁量表(BDI)、蒙哥马利-阿斯伯格抑郁量表(MADRS)、无望感量表和一般健康问卷(GHQ)等结果变量上得分较低的患者比例表明,IPT组的疗效明显更好:结论:CBT 和 IPT 对治疗 MDD 均有疗效。在本研究的结果参数中,与 CBT 相比,IPT 在 MADRS 方面取得了更好的结果。研究结果表明,干预措施能有效减轻抑郁症状。
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Comparative efficacy of cognitive behavior therapy and interpersonal therapy in the treatment of depression: A randomized controlled study.

Background: Depressive disorders are one of the most common psychiatric disorders that occur in people of all ages.

Aim: To assess the efficacy of cognitive behavior therapy (CBT) and interpersonal therapy (IPT) in cases of depression.

Materials and methods: The sample for the study comprised 52 diagnosed cases of major depressive disorder (MDD) based on the 10th revision of the International Classification of Diseases (ICD-10) criteria in the age range of 21 to 50 years. They were randomized with the help of the app and assigned to CBT and IPT groups. Two patients had dropped out of the CBT group. Hence, finally, 50 cases were taken for study. A total of 12 therapy sessions were given. All patients were given standard treatment as prescribed.

Results: Findings of paired samples t-test to assess the within-group differences in both the groups (CBT and IPT) as well as gains score statistics or difference score statistics (pre-test minus post-test) were applied to compare group differences. Results of paired samples 't' test suggest that there was a statistically significant difference in the scores of both the groups from pre-test to post-test. IPT group had shown significantly better outcomes as quantified by the percentage of patients scoring less on the outcome variable of the Beck Depression Inventory (BDI), Montgomery-Asberg Depression Rating Scale (MADRS), Hopelessness Scale, and General Health Questionnaire (GHQ).

Conclusion: Both CBT and IPT are efficacious in the treatment of MDD. IPT yielded better results on MADRS as compared to CBT on parameters of outcome in the present study. The findings indicate that interventions were effective in reducing the symptoms of depression.

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