蒙医心身互动疗法对抑郁症认知功能的影响

Ifluence of Mongolian mind-body interactive psychotherapy on cognitive function of depression

目的评价蒙医心身互动疗法对抑郁症认知功能的影响。方法选取2015年6月～2016年6月在内蒙古国际蒙医医院心身医学科门诊就诊的抑郁症患者30例,所有患者均进行蒙医心身互动治疗,疗程为21 d。采用焦虑、抑郁自评量表(SAS、SDS)评估患者治疗前与治疗后临床症状,观察其负性情绪的变化;采用重复性成套神经心理状态测试(RBANS)、Stroop-色词测验等评估患者认知功能,分析认知功能的变化。结果患者SAS、SDS评分治疗前后比较,差异有高度统计学意义(P <0.01)。Stroop-色词测验中,单色时间治疗前后比较,差异有高度统计学意义(P <0.01),但单字时间、颜色干扰时间以及字意干扰时间治疗前后比较,差异无统计学意义(P> 0.05)。RBANS测验中即刻记忆、言语功能、延时记忆等3个指标治疗前后比较,差异有高度统计学意义(P <0.01),注意部分治疗前后比较,差异有统计学意义(P <0.05),但视觉广度治疗前后比较,差异无统计学意义(P> 0.05)。结论蒙医心身互动疗法治疗抑郁症21 d,能改善患者的一部分认知功能,同时减轻抑郁焦虑等临床症状。

Objective To evaluate the effect of Mongolian mind-body interactive psychotherapy on cognitive function of depression. Methods From June 2015 to June 2016, in Inner Mongolia International Mongolian Hospital, 30 depression patients given Mongolian mind-body interactive treatment for 21 d were selected. SAS and SDS were given before and after treatment to evaluate clinical symptoms, and observe the improvement of depression; repetitive complete neuropsy chological state test （RBANS） and Stroop color words test were used to evaluated cognition function, change of cognition function were analyzed. Results The scores of SAS, SDS before and after treatment were compared, the difference was statistically significant （P 〈 0.01）. In Stroop test, single color test time before and after treatment was compared, the difference was statistically significant （P 〈 0.01）, but color interference, single word test time, color interference test time, word meaning interference test time before and after treatment were compared, the differences were not statistical- ly significant （P 〉 0.05）. The RBANS test showed three indexes such as immediate memory, speech function and de- layed memory before and after treatment was compared, the differences were statistically significant （/9 〈 0.01）, and the attention before and after treatment was compared, the difference was statistically significant （P 〈 0.05）, but visual range before and after treatment was compared, the difference was not statistically significant （P 〈 0.05）. Conclusion A 21 d of Mongolian mind-body interactive psychotherapy can improved the part of cognitive function, and reduce the depression symptoms.