改良中医情绪疗法配合抗抑郁药治疗抑郁症34例临床观察
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摘要
目的探讨改良中医情绪疗法(MTET)联合抗抑郁药物对抑郁症患者症状及心理功能的影响。方法将86例抑郁症患者随机分为对照组和治疗组,每组43例。所有患者均给予常规的抗抑郁药物治疗,对照组同时给予常规性支持性心理治疗,每周1次,每次30 min。治疗组同时给予MTET治疗,每周1次,每次30~40 min。两组均治疗8周,在治疗前及治疗2、4、8周分别采用汉密尔顿抑郁量表17项(HAMD-17)、汉密尔顿焦虑量表(HAMA)、抑郁自评量表(SDS)、焦虑自评量表(SAS)进行评分,采用主观幸福感指数量表(IWB)、简易应对方式问卷(SCSQ)及自尊量表(SES)评估心理功能。结果对照组完成试验36例,治疗组完成试验34例。两组治疗2、4、8周时HAMD-17、HAMA、SDS及SAS评分均较本组治疗前显著降低(P<0.05或P<0.01)。与对照组比较,治疗2周时治疗组HAMA-17、SDS及SAS评分均显著降低(P<0.01);治疗4、8周时,治疗组HAMD-17、HAMA、SDS及SAS评分均显著低于对照组(P<0.01)。8周治疗后,对照组仅IWB评分较治疗前升高(P<0.05);治疗组SCSQ积极应对、IWB及SES评分升高,SCSQ消极应对评分降低(P<0.01);治疗后治疗组SCSQ积极应对、IWB及SES评分均显著高于对照组,SCSQ消极评分低于对照组(P<0.05或P<0.01)。结论 MTET与抗抑郁药联合治疗对于抑郁症的疗效优于单用抗抑郁药物,可显著改善与抑郁症相关的心理病理特征。
Objective To explore and discuss the effect of modified TCM emotional therapy( MTET) with antidepressant on symptoms and psychological function of patients suffering from depression. Methods Randomly divided 86 cases of patients suffering from depression into the control group and the treatment group,with 43 cases each. All patients were given normal antidepressant for treatment. The control group was given normal supportive psychotherapy at the same time,once every week,30 min each time. The treatment group was given MTET for treatment at the same time,once every week,30 to 40 min each time. Both groups were treated for 8 weeks. Before treatment and at the second,forth,eighth week of treatment respectively,adopted Hamilton Depression Scale 17 item( HAMD-17),Hamilton Anxiety Scale( HAMA),self-rating depression scale( SDS),self-rating anxiety scale( SAS) for grading. Adopted index of well-being( IWB),simplified coping style questionnaire( SCSQ),The self-esteem scale( SES) for evaluating psychological function. Results There were 36 cases in the control group and 34 cases in the control group finished the experiment. HAMD-17,HAMA,SDS and SAS grading at the 2th,4th,8th week of treatment of two groups all remarkably decreased compared with that before treatment( P < 0. 05 or P < 0. 01). Compared with the control group,HAMD-17,SDS and SAS grading of the treatment group at the second week of treatment remarkably decreased( P < 0. 01); At the 4th and 8th week of treatment,HAMD-17,HAMA,SDS and SAS grading of the treatment group were remarkably lower than that of the control group( P < 0. 01). After being treated for 8weeks,only IWB grading in the control group increased compared with that before treatment( P < 0. 05); Grading of positive coping of SCSQ,IWB and SES of the treatment group increased; Negative coping grading of SCSQ decreasing( P < 0. 01); Grading of positive coping of SCSQ,IWB and SES of the treatment group after treatment were all remarkably higher than the control group,while negative coping grading of SCSQ was lower than that of the control group( P < 0. 05 or P < 0. 01). Conclusion Clinical curative effects of MTET with antidepressant treating depression was superior to that of antidepressant only. It could remarkably improve psychopathology related to depression.
Objective To explore and discuss the effect of modified TCM emotional therapy( MTET) with antidepressant on symptoms and psychological function of patients suffering from depression. Methods Randomly divided 86 cases of patients suffering from depression into the control group and the treatment group,with 43 cases each. All patients were given normal antidepressant for treatment. The control group was given normal supportive psychotherapy at the same time,once every week,30 min each time. The treatment group was given MTET for treatment at the same time,once every week,30 to 40 min each time. Both groups were treated for 8 weeks. Before treatment and at the second,forth,eighth week of treatment respectively,adopted Hamilton Depression Scale 17 item( HAMD-17),Hamilton Anxiety Scale( HAMA),self-rating depression scale( SDS),self-rating anxiety scale( SAS) for grading. Adopted index of well-being( IWB),simplified coping style questionnaire( SCSQ),The self-esteem scale( SES) for evaluating psychological function. Results There were 36 cases in the control group and 34 cases in the control group finished the experiment. HAMD-17,HAMA,SDS and SAS grading at the 2th,4th,8th week of treatment of two groups all remarkably decreased compared with that before treatment( P < 0. 05 or P < 0. 01). Compared with the control group,HAMD-17,SDS and SAS grading of the treatment group at the second week of treatment remarkably decreased( P < 0. 01); At the 4th and 8th week of treatment,HAMD-17,HAMA,SDS and SAS grading of the treatment group were remarkably lower than that of the control group( P < 0. 01). After being treated for 8weeks,only IWB grading in the control group increased compared with that before treatment( P < 0. 05); Grading of positive coping of SCSQ,IWB and SES of the treatment group increased; Negative coping grading of SCSQ decreasing( P < 0. 01); Grading of positive coping of SCSQ,IWB and SES of the treatment group after treatment were all remarkably higher than the control group,while negative coping grading of SCSQ was lower than that of the control group( P < 0. 05 or P < 0. 01). Conclusion Clinical curative effects of MTET with antidepressant treating depression was superior to that of antidepressant only. It could remarkably improve psychopathology related to depression.
引文
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[15]闫少校,郎俊莲.“情志相胜”心理治疗的特点及改进探讨[J].国际中医中药杂志,2012,34(5):429-431.
[16]MITCHELL M.Emotional freedom technique(1)[J].Pract Midwife,2009,12(7):12-14.
[17]陈方超,孙玉文,王米渠.以叩击穴位心理治疗为基础的情绪释放技术[J].中医药临床杂志,2012,24(12):1212-1214.
[18]孙海霞,杨蕴萍.眼动脱敏与再加工治疗现状[J].中国临床心理学杂志,2004,12(3):324-326.
[2]闫少校,吕梦涵,崔界锋.经穴情绪释放技术的机制与治疗程序探讨[J].国际中医中药杂志,2014,36(8):681-684.
[3]闫少校,曹延筠,崔界峰,等.改良中医情绪疗法的方法、接受性及对情绪影响的初步研究[J].时珍国医国药,2008,19(10):2405-2406.
[4]中华医学会精神病学分会.中国精神障碍分类与诊断标准(CCMD-3)[M].3版.济南:山东科学技术出版社2001:87-88.
[5]张明园.精神科评定量表手册[M].长沙:湖南科学技术出版社,1998.
[6]江开达.抑郁障碍防治指南[M].北京:北京大学医学出版社,2007:34-60.
[7]汪向东,王希林,马弘.心理卫生评定量表手册[M].增订版.北京:中国心理卫生出版社,1999.
[8]梁宝勇,刘畅.关于应付的一些思考与实证研究Ⅰ:应付的要领模式与效果估价[J].中国临床心理学杂志,1999,7(3):188-190.
[9]彭瑛,郭文斌,王国强.抑郁症患者抑郁症状、应付方式与人格关系的研究[J].中国临床心理学杂志,2003,11(3):230-231.
[10]刘利,尹周敏,李素平.抑郁症患者应付方式特点研究[J].临床精神医学杂志,2005,15(6):346-347.
[11]ASSERAF M,VAILLANCOURT T.Longitudinal links between perfectionism and depression in children[J].J Abnorm Child Psychol,2015,43(5):895-908.
[12]SWEENEY AC,FINGERHUT R.Examining relationships between body dissatisfaction,maladaptive perfectionism,and postpartum depression symptoms[J].J Obstet Gynecol Neonatal Nurs,2013,42(5):551-561.
[13]王冰.黄帝内经素问[M].北京:人民卫生出版社,1963.
[14]闫少校,邹义壮,崔界峰,等.中医心理治疗122例分析[J].时珍国医国药,2008,19(6):1471-1474.
[15]闫少校,郎俊莲.“情志相胜”心理治疗的特点及改进探讨[J].国际中医中药杂志,2012,34(5):429-431.
[16]MITCHELL M.Emotional freedom technique(1)[J].Pract Midwife,2009,12(7):12-14.
[17]陈方超,孙玉文,王米渠.以叩击穴位心理治疗为基础的情绪释放技术[J].中医药临床杂志,2012,24(12):1212-1214.
[18]孙海霞,杨蕴萍.眼动脱敏与再加工治疗现状[J].中国临床心理学杂志,2004,12(3):324-326.