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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 
关键词:认知行为疗法 2型糖尿病 抑郁 焦虑 血糖 
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:

1 葛均波, 徐永健. 内科学. 8 版. 北京:人民卫生出版社, 2014
2 Gois CJ, Ferro AC, Santos AL, et al. Psychological adjustment to diabetes mellitus:highlighting self -integration and self -regulation. Acta Diabetol, 2010 May 16
3 彭娟, 高琳, 王雪梅, 等. 2型糖尿病患者 201例抑郁焦虑情绪调查分析. 现代医药卫生, 2012, 28(16):2408-2409
4 唐宏宇, 方贻儒. 精神病学. 1版. 北京:人民卫生出版社, 2014
5 臧刚顺, 宋之杰, 赵延庆. 创伤后应激障碍的团体认知行为疗法综述. 中国临床心理学杂志, 2014, 22(3):560-563
6 Mohammad Khodayarifard. 认知行为家庭治疗在治疗心身疾病中的应用(英文). 世界心理治疗学会. 第五届世界心理治疗大会论文摘要. 世界心理治疗学会, 2008. 2
7 汪向东. 心理卫生评定量表手册. 增订版. 北京:中国心理卫生杂志社, 1999. 194-196
8 杨丽, 王琴. 糖尿病视网膜病变患者行玻璃体切割术围术期焦虑、抑郁及影响因素. 中国临床心理学杂志, 2016, 24 (1):152-154
9 汪莉, 孙剑, 徐乐平,等. 军队离退休干部糖尿病共病抑郁患者行为抑制/激活系统. 中国健康心理学杂志, 2015, 3:454-458
10 刘宪红, 丰慧慧, 牛金葆, 等. 2型糖尿病患者合并焦虑情绪的调查分析. 临床合理用药杂志, 2016, 9(5):94-95
11 孙岩, 李兆艳, 李桂亮. 认知行为团体治疗对 2 型糖尿病患者糖代谢和焦虑抑郁等常见负性情绪的影响. 中国实用神经疾病杂志, 2015, 23:15-17
12 张玲俐, 吴舟, 张钰群, 袁勇贵. 团体认知行为治疗对 2型糖尿病患者血糖和情绪症状的影响. 实用医院临床杂志, 2015, 6:16-19

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