目的:本研究的目的是希望透過實證研究,探討認知行為團體治療對女性門診憂鬱症患者之非理性信念及憂鬱情緒的改善,並建構一套適合女性門診憂鬱症患者之認知行為治療團體方案。方法:參照美國史丹福大學認知行為團體治療操作手冊翻譯而成之中文手冊,進行為期兩年的前驅研究,並做部分修改以適合本國國情及健保制度下的團體方案。研究對象為門診罹患低落性情感疾患之女性患者共29人(研究組14人,對照組15人),兩組成員於研究前、研究後以及追蹤測驗,皆接受「簡式認知型態測驗」、「簡式認知錯誤問卷」及「貝克憂鬱量表」三種量表之測試。結果:完成研究者共有23人,研究組在接受治療後,憂鬱情緒及非理性信念有顯著改善,且在後續追蹤仍有持續的療效。結論:這套認知行為團體方案之療效有其穩定性,足以提供醫療人員除了藥物治療外,另一種適合女性門診憂鬱症患者的治療模式。
Objectives: The present study was designed to verify efficacy of cognitive-behavioral group therapy (CBGT) in reducing irrational belief and depression symptoms among female outpatients with depressive disorder and to help develop a program of CBGT that can be applied in clinics. Methods: Twenty-nine female patients meeting the DSM-IV criteria for dysthymic disorder were assigned to either 10 weekly CBGT sessions (treatment group, n=14) or a waiting list (control group, n=15). The group leader was a psychiatrist. Based on the Stanford cognitive group therapeutic program, an appropriate program was developed that could be applied in a clinic. The two groups were followed for two months and the following outcome measures were applied: Beck's depression inventory, the Chinese version of the cognitive style test and the cognitive error questionnaire. These measures were used on three occasions, two weeks before the study, immediately upon completion of therapy and two months after completion of therapy. All the participants who completed the program underwent the pretest, posttest and follow-up assessments. Results: Twenty-three female patients completed the research program (treatment group, n=11; control group, n=12). The results suggest that CBGT is effective in reducing the intensity of depression symptoms and irrational beliefs. The results also show that the levels of psychopathological symptoms remain relatively stable over the two months follow-up after treatment. Conclusion: These findings can be taken as further evidence supporting the efficacy of CBGT in the treatment of depressive disorder.