团体回忆疗法对老年糖尿病合并轻中度抑郁患者的影响

Effect of group reminiscence therapy on elderly diabetes patients with mild to moderate depressionLi Liwe1, Guo Na2, Wang Qi1, Hou Dan1

中文关键词:  团体回忆疗法  糖尿病  抑郁  认知功能  生活质量

英文关键词:Group reminiscence therapy  Diabetes  Depression  Cognitive function  Quality of life

中文摘要:

      背景 老年糖尿病患者抑郁的发生率较高,早期进行心理干预对临床预后有重要意义。团体回忆疗法是否能改善老年糖尿病患者的心理健康,既往少有报道。目的 探讨团体回忆疗法对老年糖尿病合并轻中度抑郁患者的抑郁情绪、认知功能及生活质量的影响。方法 将80例老年糖尿病合并轻中度抑郁患者随机分为观察组和对照组,各40例。两组均接受糖尿病常规治疗,对照组进行心理健康教育,观察组在对照组基础上进行团体回忆疗法干预,每周进行1次干预,连续8周。干预前后用24项汉密尔顿抑郁量表(Hamilton depression scale-24 items,HAMD-24)评估抑郁情绪；用威斯康辛卡片分类测试(Wisconsin Card Sorting Test,WCST)、词语流畅性测验(Verbal Fluency Test, VFT)、斯特鲁普色词测验(Stroop Color Word Test,Stroop)评估认知功能；用生活质量综合评定问卷(Generic Quality of Life Inventory-74,GQOLI-74)评估生活质量。结果 治疗后观察组HAMD-24评分低于对照组(P＜0.05)。治疗后观察组WCST-正确应答百分比、WCST-概念化水平百分数、VFT正确数、Stroop正确数均高于对照组(P＜0.05)。治疗后观察组心理功能、社会功能、物质生活、总体评分均高于对照组(P＜0.05)。结论 团体回忆疗法可以改善老年糖尿病合并轻中度抑郁患者的抑郁情绪、认知功能及生活质量。

英文摘要:

      Background The incidence of depression in elderly patients with diabetes is high. Early psychological intervention is of great significance for clinical prognosis. Whether group recall therapy can improve the mental health of elderly patients with diabetes has rarely been reported in the past. Objective?S To investigate the effects of group reminiscence therapy on depressive symptoms, cognitive function, and quality of life in elderly diabetic patients with mild-to-moderate depression. Methods?S Eighty elderly diabetic patients with mild-to-moderate depression were randomly divided into an observation group and a control group (40 cases each). Both groups received routine diabetes treatment. The control group underwent mental health education, while the observation group received additional group reminiscence therapy interventions (once weekly for 8 weeks). The Hamilton Depression Scale-24 items (HAMD-24) was used to assess depressive symptoms before and after the intervention. Cognitive function was evaluated using the Wisconsin Card Sorting Test (WCST), Verbal Fluency Test (VFT), and Stroop Color Word Test (Stroop). Quality of life was measured using the Generic Quality of Life Inventory-74 (GQOLI-74). Results?S Post-intervention, the observation group showed significantly lower HAMD-24 scores than the control group (PS< 0.05). The observation group also demonstrated higher scores in WCST-correct response percentage, WCST-conceptualization level percentage, VFT correct responses, and Stroop correct responses (PS< 0.05). Additionally, the observation group exhibited superior improvements in psychological function, social function, material life, and overall GQOLI-74 scores compared to the control group (PS< 0.05). Conclusion?S Group reminiscence therapy can alleviate depressive symptoms, enhance cognitive function, and improve quality of life in elderly diabetic patients with mild-to-moderate depression.