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在线认知行为疗法对康复的新冠病毒肺炎患者抑郁症状的影响

The effect of online cognitive behavioral therapy on depressive symptoms in recovered patients with COVID-19.

作者信息

Araghi Navid Mirzakhani, Zarei Mehdi Alizadeh, Saei Shafagh, Yousefi Nodeh Hamid Reza, Mahmoudi Ebrahim

机构信息

Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti Medical University, Tehran, Iran.

Department of Occupational Therapy, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

出版信息

J Educ Health Promot. 2022 Feb 26;11:70. doi: 10.4103/jehp.jehp_727_21. eCollection 2022.

Abstract

BACKGROUND

COVID-19 virus is on the rise globally, and people with the disease experience a variety of physical and mental problems. According to studies, depression can be a complication of the virus. So far, limited measures have been taken to prevent and treat emotional-psychological complications of COVID-19. The aim of this study was to evaluate the effect of online cognitive behavioral therapy (CBT) on depressive symptoms in recovered patients with COVID-19.

MATERIALS AND METHODS

This study was conducted in a quasi-experimental design. A sample of 150 recovered patients with COVID-19 who referred to Imam Reza Hospital in Tabriz city, were selected by random sampling method. The patients' emotional-psychological status was assessed by the Beck Depression Inventory, and they entered the treatment process according to the inclusion criteria. As a therapeutic intervention, a scientific and valid approach called CBT was implemented, which two occupational therapists performed in eight treatment sessions in the context of a social communication application. Paired sample -test was used to analyze the time sequence of quantitative data due to its normality.

RESULTS

After the last session of the intervention, the effect of this therapeutic approach on reducing the depressive symptoms of patients was evaluated. According to the findings, the Beck score of the participants decreased significantly after the intervention (MD = -45/9, < 0/001).

CONCLUSION

Therefore, in order to promote the recovery of patients with COVID-19 and help health authorities to develop preventive measures and effective treatment of emotional-psychological problems caused by this virus, it is recommended to use the online CBT approach.

摘要

背景

新冠病毒在全球范围内呈上升趋势,感染该疾病的人会经历各种身心问题。根据研究,抑郁症可能是该病毒的一种并发症。到目前为止,针对新冠病毒感染后情绪心理并发症的预防和治疗措施有限。本研究的目的是评估在线认知行为疗法(CBT)对新冠康复患者抑郁症状的影响。

材料与方法

本研究采用准实验设计。通过随机抽样方法,选取了150名转诊至大不里士市伊玛目礼萨医院的新冠康复患者作为样本。采用贝克抑郁量表评估患者的情绪心理状态,符合纳入标准的患者进入治疗过程。作为一种治疗干预措施,实施了一种名为CBT的科学有效的方法,由两名职业治疗师在社交通讯应用程序的背景下进行了八次治疗。由于定量数据呈正态分布,采用配对样本t检验分析其时间序列。

结果

在干预的最后一次治疗后,评估了这种治疗方法对减轻患者抑郁症状的效果。根据研究结果,干预后参与者的贝克评分显著降低(MD = -45.9,P < 0.001)。

结论

因此,为了促进新冠康复患者的康复,并帮助卫生当局制定预防措施以及有效治疗由该病毒引起的情绪心理问题,建议采用在线CBT方法。

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