Abstract

Objective To investigate the therapeutic effects of short-time group cognitive behavioral therapy on elderly depressive patients. Methods A total of 198 elderly depressive patients hospitalized in the First Affiliated Hospital of Zhengzhou University from January 2016 to August 2018 were divided into short-time cognitive behavioral and drug therapy group (cognitive group, n=100) and antidepressant drug group (control group, n=98). All participants were assessed with Hamilton depression scale (HAMD), Beck Depression Inventory (BDI) and Tang Danlin (TDL) quality of life scale before and 4 weeks after the treatment. Results No significant difference was observed in HAMD, BDI and TDL scores between the two groups before treatment (P>0.05). After treatment, the scores of HAMD, BDI and TDL in cognitive group were significantly lower than those in control group (P<0.05). The total score of HAMD used to assess depressive state in cognitive group was significantly lower than that in control group, suggesting that short-term group cognitive intervention could improve depressive state. In cognitive group, TDL score prior to operation was 74.32±8.94, higher than the postoperative score (47.29±15.0), and the difference was significant (P<0.05); furthermore, the scores of physical aspects, psychological aspects, social aspects, ability to perform duties, self-health awareness were increased after treatment, and the differences were statistical significance (P all<0.05). In the cognitive group, the scores of sadness, pessimism, satisfactory, guilty feelings, suicidal thoughts, self-dislike, concentration difficulty and fatigue in BDI scale were reduced after treatment, and the differences were statistical significance (P<0.05), indicating the depressive degree was reduced and the mental status was improved to some extent by short-time group cognitive behavioral therapy. Conclusions Short-term group cognitive behavioral therapy can improve the symptoms of the elderly depressive patients. Key words: Short-term group cognitive behavioral therapy; Elderly depressive patients; Mental intervention

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