Clinical effect of acceptance and commitment therapy combined with paroxetine in the treatment of depression after painless childbirth

目的观察无痛分娩后抑郁症应用接纳与承诺疗法联合帕罗西汀治疗的效果。方法选取本院86例无痛分娩后抑郁症患者为研究对象,收治时间为2019年7月～2020年7月,将其随机分为观察组与对照组,各43例,对照组采用帕罗西汀治疗,观察组在对照组基础上联合接纳与承诺疗法治疗,观察临床效果。结果治疗前,两组汉密尔顿抑郁量表（HAMD）、一般自我效能感量表（GSES）、自尊量表（SES）、简明幸福与生活质量满意度问卷量表（Q-LES-Q-SF）评分无明显差异（P＞0.05）;治疗后,观察组的HAMD评分低于对照组,治疗总有效率、GSES、SES、Q-LES-Q-SF评分高于对照组,差异显著（P＜0.05）。结论临床治疗无痛分娩后抑郁症患者时,采用接纳与承诺疗法联合帕罗西汀治疗后可提升治疗效果,快速缓解抑郁症状,促进患者疾病痊愈,提高生活质量。 

Objective: To observe the effect of acceptance and commitment therapy combined with paroxetine in the treatment of depression after painless childbirth. Methods: A total of 86 patients with depression after painless childbirth in our hospital were selected from July 2019 to July 2020 and randomly divided into an observation group and a control group, with 43 cases in each group. The control group was treated with paroxetine, while the observation group was treated with acceptance and commitment therapy on the basis of the control group. The clinical effect was observed. Results: Before treatment, there was no significant difference in the Hamilton Depression Rating Scale (HAMD), General Self-Efficacy Scale (GSES), Self-Esteem Scale (SES), and Brief Questionnaire on Happiness and Quality of Life Satisfaction (Q-LES-Q-SF) between the two groups (P＞0.05). After treatment, the HAMD score of the observation group was lower than that of the control group, while the total effective rate, GSES, SES, and Q-LES-Q-SF scores of the observation group were higher than those of the control group, with significant differences (P＜0.05). Conclusion: In the clinical treatment of patients with post-painless delivery depression, the use of acceptance and commitment therapy combined with paroxetine can improve the treatment effect, quickly relieve depressive symptoms, promote disease recovery, and improve the quality of life of patients.