A Muticenter Randomized Cotrolled Study Of Simplified Cognitive Behavioral Therapy(SCBT) For Depressive Disorder

Objective:The formation of a standardized,mature,can be promoted for the treatment of patients with depressive disorder appropriate technology;explore the simplified cognitive behavioral therapy technology applicability and operability and initial efficacy.Method:1.In the early stage on the basis of extensive anxiety SCBT,extensive access to domestic and foreign literature,and refer to domestic and foreign depression related cognitive behavior books,clinical operation manual,mental health care guide,further consultation with domestic cognitive behavior therapy related experts,The preparation of SCBT therapist operation manual and the patient self-help manual for mild to moderate depressive disorder.2.Conduct case studies to explore the applicability and operability and efficacy of SCBT.3.Through randomized controlled trials,blind assessment,the patients were divided into: simple drug group,supportive psychotherapy combined with drug group,simplified cognitive behavioral therapy combined with drug group.4.To simplify the cognitive behavioral therapy of the combined drug group for the therapists as a whole,weekly,and each treatment feedback assessment.5.To simplify the cognitive behavioral therapy combined with the drug group for patients as a whole,weekly,each treatment feedback assessment and job completion assessment.6.Three groups of patients were evaluated at baseline,2 weeks,4 weeks,6 weeks and 8 weeks,respectively.The main assessment tools were Hamilton Depression Rating Scale-17(HAMD-17),Patient Health Questionnaire 9-item depression module(PHQ-9),(Hamilton Anxiety Scale,HAMA),(Generalized Anxiety Disorder Scale,GAD-7),Patient Efficacy Self-evaluation,Time-of-day self-evaluation.Result:1.Prepare a depressive disorder to simplify the cognitive behavioral therapy operation manual,the overall treatment framework is clear,the treatment arrangements are clear,with a hierarchical and structural,weekly,each treatment focus clear,layer by layer.2.Prepare a depressive disorder to simplify the cognitive behavior of patients with self-help manual,with each treatment content,the overall reatment framework is clear,rich in content,detailed description of the implementation details,interesting content.3.According to the results of the case study,the therapist thinks that the content is easy to understand,the target statement is clear,the target is likely to be large,the manual is flexible and the information is sufficient,and each treatment has great contribution to the whole,the content is necessary and the compliance of the manual good;patients think that the content is easy to understand,the target statement is clear,to achieve the possibility of the target,the overall satisfaction,the content for their own,clear and grasp the operation of a large degree of skills to grasp and master a high degree of depression,anxiety symptoms gradually reduced in the treatment At the end of the time,no depression,anxiety symptoms,and maintained to the follow-up stage;most of the patients received a greater improvement.4.38 patients were enrolled in the study group,12 patients were treated with simple drug group,13 patients were enrolled in the psychotherapy group,and 14 patients were treated with simplified cognitive behavior.5.The therapist is operable for overall,weekly and treatment evaluations.6.Patients with the overall,weekly and each treatment evaluation of the effective applicability of patients with self-assessment of the completion of the overall situation is better,but the quality of the completion of a little worse.From the baseline assessment to the 8th week follow-up,SCBT + drug group HAMD-17,PHQ-9,HAMA,GAD-7 score score decreased,the patient self-assessment effect showed an increasing trend,time-consuming time showed a decreasing trend.Conclusion:1.Simplify cognitive behavioral therapy techniques are highly operational and recommend training for more therapists.2.To simplify the cognitive behavior of patients with good applicability,and can be used in the future.3.To simplify cognitive behavior combined with drug therapy to reduce depression,improve efficacy and reduce the time to work.