Zhang Yanping, Wang Jiaxin, Qiao Linlin, Li Yating, Hou Runing, Gu Xiaojing, Zhao Jingyuan, Yan Fang
Department of Psychiatry 7, The Second Affiliated Hospital of Xinxiang Medical University, Xinxiang, China.
School of Nursing, Xinxiang Medical University, Xinxiang, China.
Front Psychiatry. 2024 Nov 26;15:1452717. doi: 10.3389/fpsyt.2024.1452717. eCollection 2024.
Explore the application effects of "Internet +" continuous emotional management training in depression patients and analyze the feasibility of innovative rehabilitation training methods.
Conveniently selected 100 discharged patients meeting the diagnostic criteria for depression from the Second Affiliated Hospital of Xinxiang Medical University between August 2022 and January 2023 as study subjects. They were divided into an intervention group and a control group according to their discharge time, with 50 patients in each group. The control group received routine monthly telephone follow-ups and "Internet +" health popularization. The intervention group received "Internet +" continuous emotional management training in addition to the control group's protocol. Before and after the intervention, the Hamilton Depression Rating Scale (HAMD), the Chinese version of the Cognitive Emotion Regulation Questionnaire (CERQ-C), and the Social Adaptation Function Evaluation Scale (SAFE) were used to compare the differences in depression relief, cognitive emotion regulation levels, and social functions between the two groups.
Two patients in the control group and three patients in the intervention group were lost to follow-up during the intervention, Ultimately, 48 patients in the control group and 47 patients in the intervention group completed the study. Before the intervention, there were no statistically significant differences between the two groups in HAMD scores, CERQ-C subscale scores, and SAFE scores ( < 0.05). After the intervention, the intervention group had significantly lower HAMD and SAFE scores compared to the control group ( < 0.05). In the CERQ-C questionnaire, the intervention group scored lower in self-blame, rumination, catastrophizing, and blaming others but higher in acceptance, positive refocusing, refocusing on planning, positive reappraisal, and putting into perspective compared to the control group, with statistically significant differences ( < 0.05).
"Internet +" continuity emotion management training can reduce the severity of depression in post-discharge patients and enhance their emotional management and social adaptability. This approach is feasible in clinical practice.
探讨“互联网 +” 连续性情绪管理训练在抑郁症患者中的应用效果，分析创新康复训练方法的可行性。
便利选取 2022 年 8 月至 2023 年 1 月在新乡医学院第二附属医院出院的 100 例符合抑郁症诊断标准的患者作为研究对象。根据出院时间将其分为干预组和对照组，每组 50 例。对照组接受每月常规电话随访及 “互联网 +” 健康科普。干预组在对照组方案的基础上接受 “互联网 +” 连续性情绪管理训练。干预前后，采用汉密尔顿抑郁量表（HAMD）、中文版认知情绪调节问卷（CERQ-C）和社会适应功能评估量表（SAFE）比较两组在抑郁缓解、认知情绪调节水平和社会功能方面的差异。
干预期间对照组有 2 例患者、干预组有 3 例患者失访，最终对照组 48 例患者、干预组 47 例患者完成研究。干预前，两组 HAMD 评分、CERQ-C 各分量表评分及 SAFE 评分比较，差异无统计学意义（P > 0.05）。干预后，干预组 HAMD 及 SAFE 评分均显著低于对照组（P < 0.05）。在 CERQ-C 问卷中，干预组在自责、沉思、灾难化和责备他人方面得分低于对照组，而在接受、积极重新关注、专注于计划、积极重新评价和正确看待方面得分高于对照组，差异有统计学意义（P < 0.05）。
“互联网 +” 连续性情绪管理训练可降低出院后抑郁症患者的抑郁严重程度，增强其情绪管理能力和社会适应能力。该方法在临床实践中可行。
