八段锦联合放松功对轻中度抑郁的影响研究

Study on the Effect of Baduanjin Exercise Combined with Relaxation Exercise on Mild-to-Moderate Depression

【目的】探究中医行为心理疗法八段锦联合放松功干预轻中度抑郁的效果。【方法】将40例轻中度抑郁患者随机分为干预组和对照组,每组各20例。干预组给予八段锦锻炼联合放松功干预治疗,对照组给予西药氢溴酸西酞普兰片治疗,疗程为6周。观察2组患者干预前后汉密尔顿抑郁量表(HAMD)评分、蒙哥马利抑郁量表(MADRS)评分、匹兹堡睡眠质量指数(PSQI)评分以及生活质量综合评定问卷(GQOL-74)评分的变化情况,并评价2组患者的抑郁改善疗效。【结果】(1)抑郁改善疗效方面,治疗6周后,干预组的总有效率为95.0%(19/20),对照组为90.0%(18/20),组间比较(χ2检验),差异无统计学意义(P>0.05)。(2)抑郁程度方面,治疗后,2组患者的HAMD评分和MADRS评分均较治疗前明显下降(P<0.01),但治疗后组间比较,差异均无统计学意义(P>0.05)。(3)生活质量方面,治疗后,2组患者的GQOL-74的躯体功能、心理功能、社会功能、物质生活等各项评分及总分均较治疗前明显改善(P<0.01),但治疗后组间比较,差异均无统计学意义(P>0.05)。(4)睡眠质量方面,治疗后,2组患者的PSQI的睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物和日间功能等各项评分及总分均较治疗前明显改善(P<0.01),且干预组对PSQI的睡眠质量、入睡时间评分及总分的改善作用明显优于对照组(P<0.05)。【结论】八段锦锻炼联合放松功干预对轻中度抑郁症状的改善有明确的疗效,可以为轻中度抑郁症患者提供更广泛的选择可能,特别是对西药治疗不耐受的患者更具有一定的优势。

Objective To investigate the effect of traditional Chinese medicine(TCM)psycho-behavior therapy Baduanjin combined with relaxation exercise for intervening mild-to-moderate depression.Methods Forty patients with mild-to-moderate depression were randomly divided into an intervention group and a control group,with 20 patients in each group.The intervention group was given the intervention of Baduanjin exercise combined with relaxation exercise,and the control group was given western medicine Citalopram Hydrobromide Tablets for 6 weeks.The changes in the scores of Hamilton Depression Scale(HAMD),Montgomery-Asberg Depression Rating Scale(MADRS),Pittsburgh Sleep Quality Index(PSQI),and General Quality of Life Questionnaire(GQOL-74)in the two groups were observed before and after the intervention.After treatment,the depression-relieving efficacy in the two groups was evaluated.Results(1)After 6 weeks of treatment,the total effective rate for the depressionrelieving efficacy in the intervention group was 95.0%(19/20)and that in the control group was 90.0%(18/20),and the intergroup comparison(tested by chi-square test)showed that the difference between the two groups was not statistically significant(P>0.05).(2)After treatment,the depression scores of HAMD and MADRS in the two groups were significantly decreased compared with those before treatment(P<0.01),but the difference was not statistically significant between the two groups after treatment(P>0.05).(3)After treatment,the scores of quality of life in the overall GQOL-74 and in the GQOL-74 items of somatic function,psychological function,social function, and material life in the two groups were significantly improved compared with those beforetreatment(P<0.01),but the differences were not statistically significant between the two groups after treatment(P>0.05).(4)After treatment, the scores of sleep quality in the overall PSQI and in the PSQI items of sleepquality,time to fall asleep,sleep time,sleep efficiency,sleep disorders,hypnotic medication,and daytimefunction in the two groups were significantly improved compared with those before treatment(P<0.01),and theintervention group had stronger effect on improving the scores of overall PSQI and PSQI items of sleep quality andtime to fall asleep than the control group(P<0.05). Conclusion Baduanjin exercise combined with relaxationexercise intervention exerts certain effect on the improvement of mild-to-moderate depressive symptoms,whichcan provide a more practical option for patients with mild-to-moderate depression,especially for patients beingintolerant of western medicine treatment.