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目的 观察自行编制的认知行为干预疗法——“音乐治疗加放松内心意象法”在癌症患者抑郁症治疗中的作用。方法 对 90例抑郁症癌症患者随机分为 3组 ,A组 30例 ,采用“音乐治疗加放松内心意象法”,B组 30例 ,采用阿米替林治疗 ;C组 30例 ,采用“音乐治疗加放松内心意象法”合并阿米替林治疗。抑郁症严重程度及疗效采用汉米顿抑郁量表( HAMD)评定和患者自评相结合 ,进行连续 1 2周的观察 ,其评定结果采用 t检验及 Ridit分析。结果 A、B、C 3组疗法在 4周前无明显差异 ,但在 4～ 6周 C组疗法与 A组疗法存在一定差异 ( P<0 .0 5)。 8～ 1 2周 C、B两组疗法与 A组疗法存在显著差异 ( P<0 .0 1 ) ,而 B、C两组却无明显差异 ( P>0 .0 5)。B、C两组从整体比较 ,C组疗法不仅疗效启动时间早 ( 8周 ,P<0 .0 5) ,而且同时可降低阿米替林的使用剂量 ( P<0 .0 1 )。结论 “音乐治疗加放松内心意象法”合并药物治疗是一种更经济、更安全、依从性更好的疗法
Objective To observe the self-prepared cognitive behavioral intervention therapy - “music therapy plus relax inner image” in the treatment of depression in cancer patients. Methods Ninety patients with depression were randomly divided into three groups. Group A (30 cases) received music therapy combined with relaxation of inner image method. Group B (30 cases) was treated with amitriptyline. Group C (30 cases) Treatment plus relax inner image “merger amitriptyline treatment. Severity and Efficacy of Depression: A total of 12 consecutive weeks of observation were performed using the HAMD and self-assessment of the patients. The assessment results were analyzed by t-test and Ridit analysis. Results There was no significant difference in A, B and C groups before 4 weeks, but between 4 and 6 weeks there was a significant difference between group C and group A (P <0.05). There was a significant difference between group C and group B in treatment 8 and 12 weeks (P <0.01), but no significant difference was found between group B and C (P> 0.05). Group B and group C compared overall. Group C treatment not only started early (8 weeks, P <0. 05), but also reduced the dose of amitriptyline (P <0.01). Conclusions ”Medication with relaxation" is a more economical, safer and more compliant treatment