Application of supportive psychotherapy among COVID-19 positive patients / 四川精神卫生

ObjectiveTo explore the role of supportive psychotherapy in mental health improvement of COVID-19 positive patients， and to provide references for the implementation of early psychological intervention measures in response to the sudden epidemic outburst， such as COVID-19. MethodsA total of 35 patients with severe COVID-19 admitted to ICU ward of Wuhan People’s Hospital from February 1 to March 1， 2020 were enrolled in this study. All the selected individuals received a 2-week supportive psychotherapy. Then Pittsburgh Sleep Quality Index （PSQI）， Patients’ Health Questionnaire Depression Scale-9 item （PHQ-9）， Generalized Anxiety Disorder Scale （GAD-7） and Social Support Rating Scale （SSRS） were used to evaluate the sleep quality， depression， anxiety and social support of participants at the baseline and the 2nd week of the intervention. ResultsInsomnia was detected in 32 patients （91.43%）， anxiety symptoms in 31 （88.57%）， depressive symptoms in 32 （91.43%）， and 29 patients （82.86%） reported feeling a lack of social support. After 2 weeks of intervention， the PSQI， GAD-7 and PHQ-9 scores decreased （t=5.272， 5.475， 4.621， P<0.01）， and SSRS score increased （t=-4.639， P<0.01）. After the intervention， the proportion of patients with insomnia， anxiety， depression and lack of social support was also decreased （χ2=18.714， 16.232， 16.970， 4.480， P<0.01）. ConclusionSupportive psychotherapy may ameliorate anxiety， depression and sleep quality in COVID-19 patients.

De qué hablamos (los psiquiatras) cuando hablamos de psicoterapia / What we (psychiatrists) talk when we talk about psychotherapy

Basado en casi 40 años de práctica de psicoterapia, tanto en la consulta privada como en instituciones psiquiátricas, revisamos algunas definiciones y los datos más relevantes de la investigación en psicoterapia sobre alianza terapéutica, factores comunes y “mecanismos” del proceso de cambio. Finalmente presentamos la psicoterapia de apoyo como el modelo “por defecto” y probablemente el más utilizado por los psiquiatras.

Based on almost 40 years of psychotherapy practice -office-based and in psychiatric institutions-, we review some definitions and the most relevant psychotherapy research data on therapeutic alliance, common factors and "mechanisms" of the change process. Finally we present supportive psychotherapy as the "default" model and probably the most used by psychiatrists.

Psychological Status of Patients with Hemoptysis caused by Bronchiectasis and its Influence to Hemostasia Therapy / 中国心理卫生杂志

Objective:to investigate the psychological status of the patients suffering from hemoptysis caused by bronchiectasis and influence to hemostasia therapy.Methods:patients were randomly divided into two groups (study group and control group) after their psychological status was collected with SCL-90. The study group received supportive psychotherapy. Both groups were evaluated by parameters such as change of the blood pressure, dosage of pituitrin and duration of hemoptysis.Results:Among all 62 patients, 83.87% were in anxiety, 66.13% had fear. 32.26% of the patients had hypertension relevant to psychological factors, in some of them (20.97%) the use of pituitrin was limited. The time of the mean duration of the hemoptysis decreased to 5 days in the study group, while it was 7 days in the control group.Conclusion:Patients suffering from hemoptysis caused by bronchiectasis usually have mood disturbance, which leads to hypertension. The psychological factors affect not only the hemoptysis but also the use of pituitrin. Supportive psychotherapy is effective in shortening the duration of hemoptysis.

Effect of Cognitive-Behavioral Therapy on the Delusion in Schizophrenic Patients / 신경정신의학

OBJECTIVE: The effect of cognitive-behavioral therapy on the delusion in schizophrenic patients was evaluated. METHOD: The patients admitted to a psychiatric ward from September 1999 to June 2000 and diagnosed as schizophrenia, schizophreniform disorder, and schizoaffective disorder by DSM-IV were randomly assigned to cognitive-behavioral therapy(CBT) group(n=9) and supportive psychotherapy (ST) group(n=8). During the 10 weeks' treatment period, conviction, preoccupation, and anxiety on delusion, mode of explanation about symptom, and recovery style were regularly measured and compared between groups. RESULTS: 1) As for conviction and anxiety on delusion, the patients from both groups showed gradual reduction over time, but there was no significant difference between groups. 2) As for preoccupation of delusion, patients from both groups showed gradual reduction over time, and the patients on CBT group had a significantly more reduction than ST group. 3) As for mode of explanation and recovery style, CBT group had more marked positive changes than ST group did. CONCLUSION: Cognitive-behavioral therapy is more effective on preoccupation of delusion, explanatory mode about symptom, and recovery style than supportive psychotherapy.