沙盘游戏治疗对轻中度抑郁障碍患者个人和社会功能的影响分析(1)
摘 要：目的 探讨沙盘游戏治疗对轻中度抑郁障碍患者的个人和社会功能的影响。方法 选取我院2016年5月～2017年10月轻中度抑郁症住院患者96例，随机分为药物组和干预组，每组48例。药物组给予口服盐酸舍曲林片治疗，干预组在药物组基础上联合沙盘游戏治疗。比较两组患者治疗前、治疗后第1周、第4周、第8周、第12周的PSP评分。结果 治疗前、治疗后第1周、第4周，两组患者PSP评分比较，差异无统计学意义(P>0.05)。治疗后第8周，干预组PSP评分为(68.36±2.74)分，高于药物组的(65.21±3.08)分，差异具有统计学意义(P<0.05)。治疗后第12周，干预组PSP评分为(73.64±1.94)分，高于药物组的(68.53±2.71)分，统计学意义显著(P<0.01)。结论 沙盘游戏联合药物治疗轻中度抑郁障碍患者，能促进患者个人和社会功能的恢复。
关键词：沙盘游戏；舍曲林；抑郁症；PSP评分
中图分类号：R749.4；R749.72 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.17.026
, 百拇医药
文章编号：1006-1959(2018)17-0086-03
Abstract：Objective To investigate the effects of sand table games on the personal and social function of patients with mild to moderate depressive disorder.Methods A total of 96 hospitalized patients with mild to moderate depression from May 2016 to October 2017 were randomly divided into the drug group and the intervention group，with 48 cases in each group.The drug group was given oral sertraline hydrochloride tablets，the intervention group was treated with sand table games on the basis of the drug group.The PSP scores of the two groups of patients before treatment，1 week，4 weeks，8 weeks，and 12 weeks after treatment were compared. Results Before treatment，the first week and the fourth week after treatment，the PSP scores of the two groups were not significantly different(P>0.05).At the 8th week after treatment，the PSP score of the intervention group was (68.36±2.74)，which was higher than that of the drug group(65.21±3.08)，the difference was statistically significant(P<0.05).At the 12th week after treatment，the PSP score of the intervention group was(73.64±1.94)，which was higher than that of the drug group(68.53±2.71)，the statistical significance was significant(P<0.01).Conclusion Sand table games combined with drugs for patients with mild to moderate depressive disorder can promote the recovery of patients'personal and social functions.
, 百拇医药
Key words：Sand table game；Sertraline；Depression；PSP score
抑郁癥(depression)作为精神障碍疾病中的一种，具有较严重的社会危害性，该疾病可严重影响患者的生活质量，其对心理社会功能的损害逐渐受到学者们的重视[1]，其治疗方法也在逐渐丰富，如药物治疗、激素治疗、电针治疗、电疗、ECT、MECT、经络氧疗法、跨颅磁刺激、心理治疗、家庭治疗、内观治疗及多模式联合治疗[2]等。沙盘游戏治疗方式作为一种新的抑郁症治疗手段逐渐被人们认识和使用。沙盘游戏治疗又称箱庭疗法，20世纪早期开始在国外使用，逐渐将其研究范围扩展到理论研究、实践和实证研究[3]。以沙、沙具等作为基本工具，将受试者的内心世界或想法通过各种模具进行呈现，由专业人员对所呈现的画面进行分析。沙盘是医者与受试者通过语言外的另一种方式进行交流，由医者对其进行适当干预或不干预，逐渐使其内心压抑的部分得到释放或缓解，从而实现疾病的治愈或自愈。目前研究较多应用于儿童多动障碍[4]、中学生焦虑抑郁情绪[5]、儿童社交恐惧症[6]等领域。本次研究主要通过沙盘游戏和药物两种治疗方案进行对比，对两组患者分别进行PSP量表评定，PSP量表在抑郁症患者的社会评估可信度和效度较高，操作简单，且稳定性较高，该临床试验结果满意，现报告如下。
1资料与方法, http://www.100md.com(田野 徐桂娟 宋震 王会秋 李群)
关键词：沙盘游戏；舍曲林；抑郁症；PSP评分
中图分类号：R749.4；R749.72 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.17.026
, 百拇医药
文章编号：1006-1959(2018)17-0086-03
Abstract：Objective To investigate the effects of sand table games on the personal and social function of patients with mild to moderate depressive disorder.Methods A total of 96 hospitalized patients with mild to moderate depression from May 2016 to October 2017 were randomly divided into the drug group and the intervention group，with 48 cases in each group.The drug group was given oral sertraline hydrochloride tablets，the intervention group was treated with sand table games on the basis of the drug group.The PSP scores of the two groups of patients before treatment，1 week，4 weeks，8 weeks，and 12 weeks after treatment were compared. Results Before treatment，the first week and the fourth week after treatment，the PSP scores of the two groups were not significantly different(P>0.05).At the 8th week after treatment，the PSP score of the intervention group was (68.36±2.74)，which was higher than that of the drug group(65.21±3.08)，the difference was statistically significant(P<0.05).At the 12th week after treatment，the PSP score of the intervention group was(73.64±1.94)，which was higher than that of the drug group(68.53±2.71)，the statistical significance was significant(P<0.01).Conclusion Sand table games combined with drugs for patients with mild to moderate depressive disorder can promote the recovery of patients'personal and social functions.
, 百拇医药
Key words：Sand table game；Sertraline；Depression；PSP score
抑郁癥(depression)作为精神障碍疾病中的一种，具有较严重的社会危害性，该疾病可严重影响患者的生活质量，其对心理社会功能的损害逐渐受到学者们的重视[1]，其治疗方法也在逐渐丰富，如药物治疗、激素治疗、电针治疗、电疗、ECT、MECT、经络氧疗法、跨颅磁刺激、心理治疗、家庭治疗、内观治疗及多模式联合治疗[2]等。沙盘游戏治疗方式作为一种新的抑郁症治疗手段逐渐被人们认识和使用。沙盘游戏治疗又称箱庭疗法，20世纪早期开始在国外使用，逐渐将其研究范围扩展到理论研究、实践和实证研究[3]。以沙、沙具等作为基本工具，将受试者的内心世界或想法通过各种模具进行呈现，由专业人员对所呈现的画面进行分析。沙盘是医者与受试者通过语言外的另一种方式进行交流，由医者对其进行适当干预或不干预，逐渐使其内心压抑的部分得到释放或缓解，从而实现疾病的治愈或自愈。目前研究较多应用于儿童多动障碍[4]、中学生焦虑抑郁情绪[5]、儿童社交恐惧症[6]等领域。本次研究主要通过沙盘游戏和药物两种治疗方案进行对比，对两组患者分别进行PSP量表评定，PSP量表在抑郁症患者的社会评估可信度和效度较高，操作简单，且稳定性较高，该临床试验结果满意，现报告如下。
1资料与方法, http://www.100md.com(田野 徐桂娟 宋震 王会秋 李群)