繪畫療法聯合正念認知療法對抑郁癥患者 心理狀態的影響

The Effect of Painting Therapy Combined with Mindfulness-Based Cognitive Therapy on the Psychological State of Patients with Depression/WAN Xiaoli，LENG Manjun，ZHANG Pingping， ZHOU Linying，WULei.//Medical Innovationof China，2025，22（18）： 092-096

[Abstract] Objective：To explore the effect of painting therapy combined with mindfulness-based cognitive therapy on the psychological state of patients with depresson.Method： A total of 8O eligible patients with depressionadmited totheFifthPeople's HospitalofJiujiang CityfromJanuaryto June 2O24 wererandomlydivided intotwo groups （n=4O），the control group was treated withconventional nursing intervention，andthe observation group was treated with painting therapy combined with mindfulness-based cognitive therapy.The patients' psychological state，socialfunctioning，suiciderisk，abilitytoperform daily living，and mental health wereassessed. Result： After 2 months of intervention，the psychological state score and suicide risk score of theobservation group were lower than those of the control group，the difference were statistically significant （ P lt;0.05）.After 2 monthsof intervention，thescores ofdailyliving abilityintheobservation group was higher than thatin thecontrol group，the difference was statistically significant （Plt;0.05） .After2 months of intervention， the social function score and mental health score of the observation group were better than those of the control group，the diferences were statistically significant （ P lt;0.05）. Conclusion： The use of painting therapy combined with mindfulness-based cognitive therapy inpatientswith depressoncanalleviatebadmoods，balance theirmental health，and improvetheir social function anddailylivingability，therebyreducingtheriskofsuicide.

[Key Words]Painting therapy Mindfulness-based cognitive therapy Depression State of mind

First-author's address： Department of Psychosomatic Medicine，Fifth People's Hospital of Jiujiang City，Jiujiang， China

doi：10.3969/j.issn.1674-4985.2025.18.022

抑郁癥是情緒上的心理疾病，主要特征表現為持續的心境低落，且伴隨愉快感消失和興趣減退，若沒有積極進行治療，隨著疾病的發展，患者可能發生自殺行為，給患者的生命安全造成了嚴重的威脅[-2]。目前，抑郁癥患者主要采用藥物干預、音樂干預、行為干預等方法進行治療[3]。但是，由于抑郁癥治療時間長，極易加重患者的心理負擔，因此需要采用合適的方法進行干預。有研究表明，青少年抑郁癥采用團體繪畫療法干預，有利于改善患者的抑郁心理[4。還有研究表明，應用正念認知療法對抑郁癥患者進行干預，可改善社會功能，對患者的心理狀態具有積極意義[5。但是，目前抑郁癥患者采用繪畫療法聯合正念認知療法干預的研究較少。基于此，本研究旨在探討繪畫療法聯合正念認知療法對抑郁癥患者心理狀態的影響，結果如下。

1資料與方法

1.1一般資料

選取九江市第五人民醫院2024年1一6月收治的符合條件的80例抑郁癥患者。納入標準：（1）均確診為抑郁，且符合文獻[6]《中國精神障礙分類與診斷標準第三版（精神障礙分類）》中的診斷標準；（2）臨床資料完整。排除標準：（1）合并嚴重傳染性疾病；（2）合并心、肝、腎等器官障礙；（3）依從性較差；（4）合并精神障礙，無法正常溝通。隨機分為對照組和觀察組，各40例。本研究經九江市第五人民醫院醫學倫理委員會批準，且患者或者患者家屬知情同意本研究。

1.2方法

對照組采用常規護理干預，具體如下：護理人員引導患者進行檢查，并給予常規的護理，主要包括健康教育、心理干預、藥物干預等內容。……