瑜伽治疗对精神分裂症住院患者精神症状的影响
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摘要
目的设计适用于精神分裂症住院患者的瑜伽治疗课程,通过调息、冥想、动作训练、休息术等环节,探索瑜伽治疗对精神分裂症住院患者症状的影响。方法将入组的60例患者随机分为观察组(药物治疗加瑜伽治疗)和对照组(药物治疗),观察组在常规治疗基础上予以瑜伽治疗,分别于基线、治疗4周后、治疗8周后和治疗12周后评估阴性和阳性症状量表(PANSS),结果进行重复测量方差分析。结果 PANSS以及各分量表的评分综合时间因素后,两组的自身前后比较差异均有统计学意义(其中PANSS,F=48.79,P<0.001;P量表,F=10.47,P<0.001;N量表F=3.69,P<0.001;G量表,F=26.52,P<0.001)。结论针对精神分裂症住院患者设计的瑜伽治疗课程对于精神症状有改善的作用。
Objective To investigate the effect of Yoga Therapy of inpatients with schizophrenia. Methods Sixty schizophrenia patients were randomly divided into the study group and control group,with 30 cases in each group. The study group was treated with Yoga Therapy. The assessment of efficacy was conducted on both groups using Positive and Negative Symptoms Scale(PANSS)at baseline,4 weeks,8 weeks and 12 weeks after treatment. Results According to the ANOVA results there was no significant difference in PANSS and other subscales score between two groups. But there was significant difference at the different time points each group(PANSS,F=48.79,P<0.001,P subscale F=10.47,P<0.001,N subscale F=3.69,P<0.001;and G subscale F=26.52,P<0.001). Conclusion Yoga Therapy can reduce the PANSS scores efficiently. With more research Yoga therapy can be improved a promising therapy.
Objective To investigate the effect of Yoga Therapy of inpatients with schizophrenia. Methods Sixty schizophrenia patients were randomly divided into the study group and control group,with 30 cases in each group. The study group was treated with Yoga Therapy. The assessment of efficacy was conducted on both groups using Positive and Negative Symptoms Scale(PANSS)at baseline,4 weeks,8 weeks and 12 weeks after treatment. Results According to the ANOVA results there was no significant difference in PANSS and other subscales score between two groups. But there was significant difference at the different time points each group(PANSS,F=48.79,P<0.001,P subscale F=10.47,P<0.001,N subscale F=3.69,P<0.001;and G subscale F=26.52,P<0.001). Conclusion Yoga Therapy can reduce the PANSS scores efficiently. With more research Yoga therapy can be improved a promising therapy.
引文
1.赵靖平,施慎逊.中国精神分裂症防治指南(第二版)[M].第1版.北京:中华医学电子音像出版社,2015:1-5.
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7.凌玲.瑜伽运动与健康促进研究[J].当代体育科技,2017,7(3):163,165.
8.Yoshihara K,Hiramoto T,Sudo N,et al.Profile of mood states and stress-related biochemical indices in long-term yoga practitioners[J].BioPsychoSocial Medicine,2011,5(1):1-6.
9.马文惠,黄文武,周刚.瑜伽练习对血清神经递质的影响[J].武术研究,2018,3(1):101-103.
10.Jayaram N,Varambally S,Behere RV,et al.Effect of yoga therapy on plasma oxytocin and facial emotion recognition deficits in patients of schizophrenia[J].Indian Journal of Psychiatry,2013,55(Suppl 3):S409-S413.
11.荆登,毛希祥,李志,等.首发精神分裂症患者的认知能力与血清同型半胱氨酸水平的相关性[J].精神病学与脑科学杂志,2018,3(2):3.
12.张馨月,姚晶晶,吕一丁,等.精神分裂症的发病机制及治疗靶点的研究进展[J].国际精神病学杂志,2018,45(2):201-204.
13.纪桂英,谢晓燕,邢丽.精神科住院患者易发生的安全问题与对策[J].中国卫生产业,2017,14(20):118-119,122.
14.倪琳玲,叶尘宇,诸顺红,等.瑜伽治疗和精神分裂症[J].国际精神病学杂志,2019,46(1):44-45,49.
2.世界卫生组织.ICD-10精神与行为障碍分类:临床描述与诊断要点[M].范肖冬,向东,于欣,等,译.北京:人民卫士出版社,1993:73-78.
3.Leucht S,Samara M,Heres S,et al.Dose Equivalents for Second-Generation Antipsychotic Drugs:The Classical Mean Dose Method[J].Schizophr Bull.2015,41(6):1397-1402.
4.李华芳.精神药物临床研究常用量表(第2版)[M].上海:上海科技教育出版社,2014:1-33.
5.Bhatia T,Mazumdar S,Wood J,et al.A randomized controlled trial of adjunctive yoga and adjunctive physical exercise training for cognitive dysfunction in schizophrenia[J].Acta Neuropsychiatrica.2016,29(2):102-114.
6.Govindaraj R,Varambally S,Gangadhar BN.Yoga for schizophrenia:Patients’perspective[J].International journal of yoga,2015,8(2):139-141.
7.凌玲.瑜伽运动与健康促进研究[J].当代体育科技,2017,7(3):163,165.
8.Yoshihara K,Hiramoto T,Sudo N,et al.Profile of mood states and stress-related biochemical indices in long-term yoga practitioners[J].BioPsychoSocial Medicine,2011,5(1):1-6.
9.马文惠,黄文武,周刚.瑜伽练习对血清神经递质的影响[J].武术研究,2018,3(1):101-103.
10.Jayaram N,Varambally S,Behere RV,et al.Effect of yoga therapy on plasma oxytocin and facial emotion recognition deficits in patients of schizophrenia[J].Indian Journal of Psychiatry,2013,55(Suppl 3):S409-S413.
11.荆登,毛希祥,李志,等.首发精神分裂症患者的认知能力与血清同型半胱氨酸水平的相关性[J].精神病学与脑科学杂志,2018,3(2):3.
12.张馨月,姚晶晶,吕一丁,等.精神分裂症的发病机制及治疗靶点的研究进展[J].国际精神病学杂志,2018,45(2):201-204.
13.纪桂英,谢晓燕,邢丽.精神科住院患者易发生的安全问题与对策[J].中国卫生产业,2017,14(20):118-119,122.
14.倪琳玲,叶尘宇,诸顺红,等.瑜伽治疗和精神分裂症[J].国际精神病学杂志,2019,46(1):44-45,49.