团体认知行为治疗应用于老年抑郁症初探
Primary study of group cognitive-behavioral therapy for patients with late-life depression

目的 ·探讨团体认知行为治疗（GCBT）应用于老年抑郁症患者的疗效,以及适应人群的特征。方法 · 37例患者进入研究。GCBT分为3个部分，每部分4次治疗，每周治疗1次。完成1个疗程需12周，共12次治疗。在入组前和治疗12周末使用Hamilton抑郁量表（HAMD，17项）、Hamilton焦虑量表（HAMA）、抑郁自评量表（GDS）进行评估。同时比较治疗完成组和脱落组的人口学及临床特征。结果 ·完成12次GCBT的患者20例。12周末完成治疗组HAMD、HAMA、GDS评分显著低于基线评分。基线时完成治疗组（20例）与脱落组（17例）在年龄、性别、工作类别、疾病严重程度上差异无统计学意义，但完成治疗组的受教育程度高于脱落组。结论 · GCBT治疗老年抑郁症患者疗效较好；有一定文化程度的老年患者更适合作为GCBT治疗对象。
： Objective · To evaluate the efficacy of group cognitive-behavior therapy to late-life depression (LLD) and investigate the feature of LLD patients who adapt GCBT. Methods · 37 LLD patients were enrolled. The duration of GCBT was 12 weeks. The efficacy of GCBT was evaluated by Hamilton Depression Rating Scale (HAMD), Hamilton Anxiety Rating Scale (HAMA) and Geriatric Depression Scale (GDS) before and after treatment. Demographic and clinical characteristics of completed group and dropped out group were compared. Results · 20 patients were accomplished the GCBT in 12 weeks. The score of HAMD, HAMA and GDS were significant declined compared to the baseline. Completed group and dropped out group hadn’t any difference in the age, sex, work type and severity of disease. The education level of LLD patients in different groups was significantly different. Conclusion · GCBT can improve the depression and anxiety symptoms of LLD patient. Patients with higher education level are appropriate candidates for GCBT