正念减压配合冥想训练对抑郁症患者抑郁程度及思维障碍的影响

Effect of mindfulness decompression combined with meditation training on depression and thinking disorder in patients with depression

目的探讨正念减压配合冥想训练对抑郁症患者抑郁程度、思维障碍的影响。方法选取2019年3月至2021年3月宜春市第三人民医院收治的68例抑郁症患者作为研究对象,随机分为对照组与观察组,每组34例。对照组采用度洛西汀治疗,观察组在对照组治疗的基础上联合正念减压配合冥想训练治疗。比较两组治疗前、治疗3个月后两组抑郁程度[抑郁症自我评估量表(PHQ-9)]、焦虑程度[特质焦虑量表(TAI)]、联想思维能力[瑞文标准智力测验(SPM)]及主观幸福感(主观幸福感量表)评分。结果治疗3个月后,两组心理状态、生活状态评分及总分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗3个月后,两组TAI评分均低于治疗前,SPM评分均较高于治疗前,且观察组TAI评分低于对照组,SPM评分高于对照组,差异有统计学意义(P<0.05)。治疗3个月后,两组幸福指数、情感感受、生活满意度评分高于均治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论正念减压配合冥想训练联合度洛西汀治疗抑郁症能有效缓解患者抑郁、焦虑症状,提高患者联想思维能力和主观幸福感,具有较高的临床应用价值。

Objective To explore the effect of mindfulness decompression combined with meditation training on depression and thinking disorder in patients with depression.Methods 68 patients with depression admitted to the Third People's Hospital of Yichun City from March 2019 to March 2021 were selected as the study subjects,and they were randomly divided into the control group and the observation group,with 34 cases in each group.The control group was treated with duloxetine,and the observation group was treated with mindfulness decompression combined with meditation training on the basis of the control group.The scores of depression degree(patient health questionnaire-9[PHQ-9]),anxiety degree(trait anxiety scale[TAI]),associative thinking ability(Raven's standard progressive matrices[SPM])and subjective well-being(subjective well-being scale)were compared between the two groups before treatment and after 3 months of treatment.Results After 3 months of treatment,the scores of psychological state,living state and total score of the two groups were lower than those before treatment,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).After 3 months of treatment,the TAI scores of the two groups were lower than those before treatment,and the SPM scores were higher than those before treatment,and the TAI scale in the observation group was lower than that in the control group,and the SPM score was higher than that in the control group,the differences were statistically significant(P<0.05).After 3 months of treatment,the scores of happiness index,emotional feeling and life satisfaction of the two groups were higher than those before treatment,and those in the observation group were higher than the control group,the differences were statistically significant(P<0.05).Conclusion Mindfulness decompression combined with meditation training combined with duloxetine in the treatment of depression can effectively alleviate the symp-toms of depression and anxiety,improve the associative thinking ability and subjective well-being of patients,and has high clinical application value.