通讯作者: 黄丽珍, huanglz705@163.com

DOI：10.12201/bmr.202509.00013

The effect of active rumination training on negative emotions during the treatment of non convulsive electroconvulsive therapy in patients with depression

• 摘要：目的：探讨积极反刍思维训练（PRT）对抑郁症患者无抽搐电休克治疗（MECT）过程中负性情绪的影响。方法：选取2024年2月至2025年2月于我院接受MECT的抑郁症患者80例，按随机数字表法将其分为对照组和观察组各40例。对照组采用常规干预，观察组在对照组的基础上实施PRT，两组均干预至MECT结束，所有抑郁症患者均接受8-12次的MECT治疗。比较干预前后两组的负性情绪、自我效能感及积极和消极反刍思维量表（PANRS），对比两组干预后的不良反应情况。结果：干预后，观察组的焦虑、抑郁量表、消极因子反刍思维得分均低于对照组，一般自我效能感量表及积极因子反刍思维得分均高于对照组，差异有统计学意义（均P＜0.05）；观察组的不良反应总发生率低于对照组，差异有统计学意义（P＜0.05）。结论：PRT能降低MECT过程中抑郁症患者的负性情绪及消极反刍思维，提高积极反刍思维及自我效能感，并能降低MECT引发的不良反应发生率。

  关键词： 积极反刍思维；抑郁症；无抽搐电休克治疗；负性情绪; ; ; 

   

  Abstract: Objective: To explore the effect of Positive Ruminative Thinking Training (PRT) on negative emotions during seizure free electroconvulsive therapy (MECT) in patients with depression. Method: 80 patients with depression who received MECT in our hospital from February 2024 to February 2025 were selected and randomly divided into a control group and an observation group, with 40 patients in each group, using a random number table method. The control group received routine intervention, while the observation group received PRT on the basis of the control group. Both groups were intervened until the end of MECT, and all patients with depression received 8-12 sessions of MECT treatment. Compare the negative emotions, self-efficacy, and positive and negative rumination scale (PANRS) between the two groups before and after intervention, and compare the adverse reactions after the intervention. Result: After intervention, the scores of anxiety, depression scale, and negative factor rumination thinking in the observation group were lower than those in the control group. The scores of general self-efficacy scale and positive factor rumination thinking were higher than those in the control group, and the differences were statistically significant (all P<0.05); The total incidence of adverse reactions in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05). Conclusion: PRT can reduce negative emotions and negative rumination thinking in patients with depression during MECT, improve positive rumination thinking and self-efficacy, and reduce the incidence of adverse reactions caused by MECT.

  Key words: Positive rumination thinking; depression; Non convulsive electroconvulsive therapy; Negative emotions

  提交时间：2025-09-03

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2025-07-18	10.12201/bmr.202509.00013V1	下载

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