Costa Elisabeth Maria Sene, Antonio Rosilda, Soares Márcia Britto de Macedo, Moreno Ricardo Alberto
Department and Institute of Psychiatry, Medical School, Universidade de São Paulo, São Paulo, SP, Brazil.
Braz J Psychiatry. 2006 Mar;28(1):40-3. doi: 10.1590/s1516-44462006000100009. Epub 2006 Mar 24.
Recent literature has highlighted the role of psychotherapy in the treatment of major depressive disorder. Combined therapies comprising both psychotherapy and pharmacotherapy have presented the best results. Although several kinds of psychotherapies have been studied in the treatment of depressive disorders, there remains a lack of data on psychodramatic psychotherapy in the treatment of major depressive disorder. The objective of this study was to evaluate the impact of psychodramatic psychotherapy (in a sample of major depressive disorder patients.
This is an open, naturalistic, controlled, non-randomized study. Twenty major depressive disorder patients (according to the DSM-IV criteria), under pharmacological treatment for depression, with Hamilton Depression Scale total scores between 7 and 20 (mild to moderate depression), were divided into two groups. Patients in the psychotherapeutic group took part in 4 individual and 24 structured psychodramatic group sessions, whilst subjects in the control group did not participate in this psychodramatic psychotherapy. Both groups were evaluated with the Social Adjustment Scale-Self Report and the Hamilton Depression Scale.
Psychotherapeutic group patients showed a significant improvement according to the Social Adjustment Scale-Self Report and the Hamilton Depression Scale scores at endpoint, compared to those of the control group.
Results suggest that individual and group psychodramatic psychotherapy, associated to pharmacological treatment, provides good clinical benefits in the treatment of major depressive disorder.
近期文献强调了心理治疗在重度抑郁症治疗中的作用。心理治疗与药物治疗相结合的综合疗法已呈现出最佳效果。尽管已有多种心理治疗方法用于抑郁症的治疗研究，但关于心理剧疗法治疗重度抑郁症的数据仍然匮乏。本研究的目的是评估心理剧疗法对重度抑郁症患者样本的影响。
这是一项开放、自然主义、对照、非随机研究。20名符合《精神疾病诊断与统计手册》第四版（DSM-IV）标准的重度抑郁症患者，正在接受抑郁症药物治疗，汉密尔顿抑郁量表总分在7至20分之间（轻度至中度抑郁），被分为两组。心理治疗组的患者参加了4次个体和24次结构化心理剧团体治疗，而对照组的受试者未参与这种心理剧疗法。两组均使用社会适应量表-自我报告和汉密尔顿抑郁量表进行评估。
与对照组相比，心理治疗组患者在研究终点时根据社会适应量表-自我报告和汉密尔顿抑郁量表得分显示出显著改善。
结果表明，与药物治疗相结合的个体和团体心理剧疗法在重度抑郁症治疗中具有良好的临床疗效。
