Srivastava Kalpana, Chatterjee Kaushik, Prakash Jyoti, Yadav Arun, Chaudhury Suprakash
Department of Psychiatry, Armed Forces Medical College, Pune, Maharashtra, India.
Department of Psychiatry, Dr D Y Patil Medical College, Dr D Y Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India.
Ind Psychiatry J. 2024 Jan-Jun;33(1):160-167. doi: 10.4103/ipj.ipj_294_23. Epub 2024 Apr 12.
Depressive disorders are one of the most common psychiatric disorders that occur in people of all ages.
To assess the efficacy of cognitive behavior therapy (CBT) and interpersonal therapy (IPT) in cases of depression.
The sample for the study comprised 52 diagnosed cases of major depressive disorder (MDD) based on the 10 revision of the International Classification of Diseases (ICD-10) criteria in the age range of 21 to 50 years. They were randomized with the help of the app and assigned to CBT and IPT groups. Two patients had dropped out of the CBT group. Hence, finally, 50 cases were taken for study. A total of 12 therapy sessions were given. All patients were given standard treatment as prescribed.
Findings of paired samples -test to assess the within-group differences in both the groups (CBT and IPT) as well as gains score statistics or difference score statistics (pre-test minus post-test) were applied to compare group differences. Results of paired samples '' test suggest that there was a statistically significant difference in the scores of both the groups from pre-test to post-test. IPT group had shown significantly better outcomes as quantified by the percentage of patients scoring less on the outcome variable of the Beck Depression Inventory (BDI), Montgomery-Asberg Depression Rating Scale (MADRS), Hopelessness Scale, and General Health Questionnaire (GHQ).
Both CBT and IPT are efficacious in the treatment of MDD. IPT yielded better results on MADRS as compared to CBT on parameters of outcome in the present study. The findings indicate that interventions were effective in reducing the symptoms of depression.
抑郁症是所有年龄段人群中最常见的精神疾病之一。
评估认知行为疗法(CBT)和人际治疗(IPT)对抑郁症患者的疗效。
本研究样本包括52例根据国际疾病分类第10版(ICD - 10)标准确诊的重度抑郁症(MDD)患者,年龄在21至50岁之间。他们通过应用程序随机分组,分为CBT组和IPT组。有两名患者退出了CBT组。因此,最终共有50例患者纳入研究。总共进行了12次治疗疗程。所有患者均接受规定的标准治疗。
采用配对样本检验评估两组(CBT组和IPT组)的组内差异,并应用增益得分统计或差异得分统计(前测减去后测)来比较组间差异。配对样本检验结果表明,两组从测试前到测试后的得分存在统计学显著差异。根据贝克抑郁量表(BDI)、蒙哥马利 - 阿斯伯格抑郁评定量表(MADRS)、绝望量表和一般健康问卷(GHQ)的结果变量得分较低的患者百分比来量化,IPT组显示出明显更好的治疗效果。
CBT和IPT在治疗MDD方面均有效。在本研究的结果参数方面,与CBT相比,IPT在MADRS上产生了更好的结果。研究结果表明,干预措施在减轻抑郁症状方面是有效的。