团体心理咨询对甲减患者焦虑抑郁情绪的影响

目的:探讨团体心理咨询对甲减患者焦虑、抑郁情绪的影响,为改善甲减患者心理健康状况提供参考依据。方法:选择2014年1月至2016年1月在我院确诊为甲减后焦虑、抑郁的60例患者,按照随机数字表法分为对照组(n=30)和研究组(n=30)。对照组给予常规药物治疗,研究组在对照组基础上给予6周的团体心理咨询治疗。治疗后6周、3个月测量两组患者的甲状腺功能情况,并对比治疗前、治疗后6周及治疗后3个月两组的汉密尔顿焦虑量表(HAMA)评分和汉密尔顿抑郁量表(HAMD)评分,另外治疗后3个月比较两组患者的满意度。结果:治疗后6周对照组甲状腺功能正常24例,异常6例,研究组正常25例,异常5例;治疗3个月两组甲状腺功能正常均为30例,两组患者治疗后6周、3个月的甲状腺功能情况比较无统计学差异(P0.05)。治疗后6周、3个月两组HAMA、HAMD评分较治疗前降低,且研究组较对照组的评分更低(P0.05)。治疗后3个月研究组患者满意度为96.67%(29/30),明显高于对照组的66.67%(20/30)(P0.05)。结论:团体心理咨询在甲减后焦虑、抑郁患者的治疗中的作用明显,可显著改善患者的心理健康状况,提高患者的满意度。

Influence of Group Psychological Counseling on Anxiety and Depression in Hypothyroidism Patients

ABSTRACT Objective: To study the influence of group psychological counseling on anxiety and depression in hypothyroidism pa- tients, so as to provide reference for improving their mental health status. Methods: 60 patients with anxiety and depression after hypothy- roidism in our hospital from January 2014 to January 2016 were divided into control group (n=30) and research group (n=30) by random number table method. The control group was given routine drug therapy, the research group was given group psychological counseling for six weeks on the basis of the control group. The thyroid function of the two groups were measured at six weeks and three months after treatment. The Hamilton Anxiety Scale (HAMA) score and Hamilton Depression Scale (HAMD) score were compared between the two groups before treatment, six weeks and three months after treatment. In addition, the satisfaction of two groups were compared at three months after treatment. Results: Six weeks after treatment, 24 cases of patients with normal thyroid function and 6 cases of patients with abnormal thyroid function in the control group, 25 cases of patients with normal thyroid function and 5 cases of patients with abnormal thyroid function in the research group. Three months after treatment, all the patients of the two groups had normal thyroid function. There were not statistical differences of the thyroid function with the two groups at six weeks and three months after treatment (P>0.05). Six weeks and three months after treatment, the scores of HAMA and HAMD in the two groups decreased, and the scores of the research group were lower than of the control group (P<0.05). Three months after treatment, the satisfaction rate of the research group was 96.67% (29/30), which was significantly higher than 66.67% (20/30) of the control group (P<0.05). Conclusion: Group psychological counseling has obvious effect on treatment of hypothyroidism patients with anxiety or depression. It can significantly improve the mental health sta- tus of patients and improve their satisfaction.