生物反馈治疗在抑郁症患者中的应用

Application of Biofeedback Therapy on Depression

目的研究生物反馈治疗对伴有焦虑症状的抑郁症患者疗效的影响。方法抑郁症患者60名,随机分为实验组和对照组各30人。实验组和对照组均接受常规治疗与护理。实验组在此基础上应用生物反馈治疗1次/日,共3周。实验组和对照组均在患者入院及治疗后第1周、第3周、第6周末,分别采用汉密尔顿抑郁量表(HAM D)、汉密尔顿焦虑量表(HAMA)进行评定并计算减分率。结果经6周治疗,实验组30人抑郁症患者HAM D、HAMA治疗后与治疗前评分比较减分率有显著性差异(P分别为0.031和0.003);对照组的HAM D、HAMA治疗前与治疗后评分比较减分率在第3周有差异(P分别为0.038,0和0.013);有效率:实验组有效率为90%,对照组有效率为76%,两组的差异有显著性。结论抑郁症患者在药物治疗的基础上,联合生物反馈治疗可以辅助缓解抑郁症患者的焦虑、抑郁等负性情绪,从而提高疾病的整体疗效,对抑郁症患者的早日康复,有良好的促进作用。

Objective To research the effect of biofeedback therapy on depression patients with anxious symptom.Methods A total of 60 depression patients were randomly divided into two groups with 30 each group： a study group and a control group,which were both accepted clinical normal therapy and nursing care.At the same time,the study group received biofeedback therapy for three weeks,one time per diem.HAMD and HAMA were separately assessed in admission to hospital,first week,third week,and sixth week after therapy between study and control group.At last,both HAMD and HAMA were accounted to rate of decreasing.Results There were significant differences in scores of HAMD and HAMA between study group and control group before and after therapy（P =0.031,and 0.003）.The scores of HAMD and HAMA of control group differed significantly between before therapy and third week after therapy（P =0.038,and 0.013）.The rate of effective was 76% in control group,while 90% in study group.There was a significant difference in rate of effective between two groups.Conclusion Therapeutic alliance with medication and biofeedback therapy can release the depressive and anxious symptoms in depression patients,which will increase the whole curative effect and improve faster rehabilitation for depression patients.