【摘要】 目的 分析讨论在首发青少年抑郁症中，家庭干预对患者的影响。方法 共90例首发青少年抑郁症患者，于2020年1月～2021年12月期间以随机抽样法分组研究，45例参照组中为患者提供药物治疗联合认知行为治疗，实验组中45例在上述基础上添加家庭干预，观察比较实验组、参照组间临床疗效、抑郁评分、睡眠质量及满意度。正态计量资料采用t检验，计数资料采用x~2检验。结果 总有效率比较存在差异性，实验组高于参照组（P<0.05）。治疗前患者汉密尔顿抑郁量表（HAMD）评分和入院当天睡眠质量评分实验组与参照组经对比无显著差异（P>0.05），治疗后4周、12周HAMD评分与出院当天睡眠质量评分实验组低于参照组，存在差异性（P<0.05），实验组家属满意度占97.78%，显著高于参照组（P<0.05）。结论 针对青少年抑郁症患者提供药物治疗、认知行为、家庭治疗等干预后，抑郁情绪与睡眠质量得到改善，并提高了家属满意度。更多还原

【Abstract】 Objective To analyze and discuss the influence of family intervention on the first episode of adolescent depression. Methods A total of 90 adolescent patients with first-episode depression were divided into groups by random sampling from January 2020 to December 2021. 45 patients in the reference group were provided with drug therapy and cognitive behavioral therapy, and 45 patients in the experimental group were added with family intervention on the basis of the above. The clinical efficacy, depression score, sleep quality and satisfaction were compared between the experimental group and the reference group. Normal measurement data were tested by t test, count data were tested by x~2. Results The total effective rate of the experimental group was higher than that of the reference group(P<0.05). Hamilton depression scale(HAMD) scores before treatment and sleep quality scores on admission day had no significant differences between the experimental group and the reference group(P>0.05), HAMD scores at 4 and 12 weeks after treatment and sleep quality scores on the day of discharge in the experimental group were lower than those in the reference group(P<0.05), and family satisfaction in the experimental group accounted for 97.78%, which was significantly higher than that in the reference group(P<0.05). Conclusion After providing medication, cognitive behavior, family therapy and other interventions for adolescents with depression,depressive mood and sleep quality were improved, and family satisfaction was increased.更多还原