门诊短程自动化思维训练在焦虑抑郁共病病人中的应用

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AbstractObjective：Toinvestigateteapcaoefectofoutpatietshortteutomatictoughtrecognitiotrainginpatintswith comorbidaxietynddeprionandtoproidferenesforiigoupatittreatmentstateiesMtos：Atotalofats withcomorbidanxietyanddepresionweredividedintoanautomaticthought trainingombined withpharmacotherapygroup（combined treatmentgroup，37cases）andapharmacotherapyalonegroup（medicationalonegroup，45cases）.TheHamiltonAnxietyScale（HAMA） and Hamilton Depresion Scale（HAMD）wereused as primaryoutcome measures.Alinear mixed-efects model wasused tocompare symptomchanges betweenthetwogroupsfromthefirstoutpatient visit tothelastoutpatientvisit.Results：Thelinear mixed-efects modelshowed astatisticallysignificant group-by-time interaction effect for HAMD total scores between the two groups P<0.001 ）.The combinedtreatmentgroupshowedgreaterchangesindepresiontotalscoresattheendof4weeksand8weeksof treatmentcompared with the medication alone group P<0.05 0.The combined treatment group also showed greater changes in anxiety total scores at the end of 8 weeks compared with the medication alone group P=0.02 ）.Conclusions：In patients with comorbid anxiety and depression， combinedautomaticthoughttrainingdemonstratesbeterclinical eficacyinsymptomimprovementcomparedwithpharmacotherapy alone.

Keywordsdepresson-anxietycomorbidity；psychiatricpatients;automaticthoughtrecognitiontrainng;negativeemotionsptom management

焦虑抑郁障碍共病是精神科门诊最为常见的共病形式之一。（剩余11350字）