| Adolescents with major depression is a kind of common mental disease, its prealence was rising and age of onset of smaller trend, and lifetime prealence hit15-20%, close to an adult, and the relevant research also think adulthood depression was a teenager already comes on. The influence of the depression happened there are many factors, adolescents as a special social group, is in the key period of outlook on life values, often face learning pressure is too great, sensitive interpersonal relationship family factors and so on many kinds of stressful thing, and solving the problems of ability is bad, easy to form self-esteem, self-image, appear I can’t I not and so on a series of negative thinking mode, for the performance of the passive and self-centered. Depression has the recurrence rate high suicide risk high course is long, etc, thus to prevent recurrence perfect its social function, the psychological recovery is really achieve important goal of treatment, and the treatment of depression research also more drugs and psychotherapy treatment, comprehensive treatment can not only reduce or ease the symptoms of depression patients, but also can improve its psychological adapt functional level, and improve the quality of life so, discusses the influence factors and comprehensive treatment of the relationship between the has become an important subject today.Although at home and abroad, about antidepressants joint cognitive behavioral therapy for the treatment of depression, but used in youth research is still relatively small this study in the work, and on the basis of the characteristics of the depression with adolescents in order to observe its effect factors and gave sertraline combined cognitive behavioral therapy the clinical efficacy of treatment.Objectives1. Discusses the socio-psychological factors of adolescents depressed patients.2. Explore sertraline combined cognitive behavioral therapy in the treatment of adolescent depression of the clinical curative effect.Methods1. Object of study Including depression group (n=90) and normal control group (n=114), will be the depression group further divided into the combined treatment group (n=45) with those pieces of sertraline (n=45).2. Research Instruments Self-made questionnaire the general information, Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale Rating Symptom Scale (HAMA), Eysenck Personality Questionnaire (EPQ), SimplifiecopingStyle Questionnaire (SCSQ), Family Environment Scale (FES-CV), Scores of health-related quality of life Scale (SF-36).3. When the group above assessment scale, cases in depression group of2,4,6,8weekend evaluation HAMD, HAMA, SCL-90again to assess curative effect, at the same time in eight weeks at the end of the treatment again give EPQ, FES-CV, SCSQ, SF-36scale evaluation.4. Cognitive behavioral therapy, by my professional psychological consultants, informed consent in patients premise, combined with its personality traits interpersonal clinical symptoms of comprehensive judgments, form structured treatment plan set schedule, the negative automatic identification of homework and thinking methods of patients with mining check is not reasonable faith, and faith in rational replace irrational belief, so as to improve its bad mood cognitive distortion. Results1. Compared with the normal control group, the depression group has neurotic (t=8.49p<0.01), psychoticism (t=12.15p<0.01) score higher, endocathection (t=7.53p<0.01)score is low.2. Compared with the normal control group, the depression group contradiction (t=6.31p<0.01)score higher, independence (t=11.13p<0.0l), emotional expression (t=11.61p<0.01), intimacy (t=20.48p<0.01), achievement,(t=9.64p<0.01), entertaining (1=16.25p<0.01), organized (t=12.08p<0.01), controlling (t=15.27p<0.01) knowledge (t=16.95p<0.01), moral-religious emphasis(t=14.15p<0.01) scored lower.3. Compared with the normal control group, the depression group negative coping styles (t=8.02p<0.0l) score higher, positive coping styles(t=-2.86p<0.01) score is low.4. Combined treatment group compared with those pieces group, the8wk began to appear combined treatment group t test after the show:EPQ dimensions are differences, neurotic (t=3.46p<0.05), psychology (t=2.88p<0.05) less than those sertraline group, inside and outside to give score (t=0.26p<0.05) than those sertraline group up.5. SCSQ combined treatment group in positive way to deal with the score (t=5.13p<0.01) than those sertraline in group, gave way to deal with the negative points (t=7.43p<0.01) less than those sertraline group up.6. Combined treatment group up with those sertraline group comparison among groups, Wilcoxon after the show:2kw HAMA after treatment were significantly reduced (p<0.01), treatment after4kw SCl-90, HAMD score lower (p＜0.05).7. Combined treatment group up with those sertraline comparison in the group, Wilcoxon after the show:treatment after2kw SC1-90, HAMD, HAMA score lower0<0.05). Treatment after8kw SCl-90, HAMD, HAMA score significantly reduced (p<0.01). ConclusionsAccording to this study can be concluded:1. The contradiction between family environment, the neurotic personality, psychology, endocathection, the way to deal with the negative coping is adolescents the socio-psychological factors of depression.2. Compared with those sertraline pieces, combined cognitive behavioral therapy can be more effective relieve the symptoms of depression patients. |
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