中国临床心理学杂志

认知行为疗法对2型糖尿病合并抑郁和焦虑的疗效

作者：易姝薇彭娟庞锐

单位：1. 遵义医学院遵义 563000 2. 遵义医学院管理学院遵义 563000

分类号：R395.5

出版年,卷(期):页码：2018,26(2):414-416

摘要：

目的：探讨认知行为疗法对2型糖尿病合并抑郁和焦虑的疗效。方法：将90例2型糖尿病合并抑郁和焦虑的患者随机分为2组，对照组患者采用常规药物治疗，实验组患者在常规药物治疗基础上结合认知行为疗法进行干预；分别在干预前及干预后对所有患者进行抑郁和焦虑水平评估，并检测空腹血糖及餐后2小时血糖。结果：干预前，两组抑郁和焦虑水平、空腹血糖及餐后2小时血糖均无显著差异；干预后，实验组抑郁和焦虑水平、空腹血糖及餐后2小时血糖均显著低于对照组，实验组干预后的抑郁和焦虑水平、空腹血糖值和餐后2小时血糖值均较干预前显著降低；对照组干预后的抑郁水平较干预前显著升高，焦虑水平、空腹血糖及餐后2小时血糖不存在统计学意义上的差异；两组的抑郁、焦虑水平变化均与血糖变化呈正相关。结论：认知行为疗法能够有效改善2型糖尿病患者的抑郁和焦虑，且负性情绪的改善可能进一步有助于糖尿病患者血糖的控制。

Objective:To explore the effect of cognitive behavior therapy on patients with type 2 diabetes mellitus,de-pression and anxiety. Methods:90 cases of type 2 diabetic patients with depression and anxiety were randomly divided in-to 2 groups, the control group was treated with conventional treatment, patients in the experimental group were treated with cognitive behavioral therapy as well as conventional therapy; Anxiety, depression, fasting blood glucose and 2h postprandial plasma glucose were assessed in all patients before and after intervention respectively. Results:Before the intervention, two groups of average levels of depression and anxiety, fasting blood glucose and postprandial 2 hours blood glucose had no significant difference. After the intervention, the depression and anxiety level, fasting blood glucose, 2 hour postprandial blood glucose of the experimental group were significantly lower than the control group, and that before the intervention. The depression level of control group was significantly higher than that before the intervention, anxiety level, fasting blood glucose and postprandial 2 hours blood glucose had no difference. The changes of depression and anxiety related to changes of blood glucose positively in two groups. Conclusion:The results show that cognitive behavioral therapy can improve the patients with type 2 diabetes, depression and anxiety effectively. The change of negative emotion may further contribute to the improvement of blood glucose in patients with diabetes.

基金项目：

贵州省教育厅高校人文社会科学研究项目（项目号：2015SSD23）

作者简介：

参考文献：

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