中医心理低阻抗意念导入疗法对抑郁症患者的影响
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摘要
目的:探讨中医心理低阻抗意念导入疗法(TIP)对轻、中度抑郁症患者的影响。方法:对轻、中度抑郁症患者10例予TIP疗法管理,在干预前及干预4、8、12周后通过汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)及贝克抑郁量表(BDI)评估患者抑郁情况。结果:12周后患者HAMD、HAMA、BDI评分均下降,管理前后比较差异显著(P<0.05)。结论:TIP疗法能改善轻、中度抑郁症患者抑郁、焦虑症状,尤其在改善焦虑方面较为突出。
Objective: To discuss the effects of low resistance thought induction psychotherapy(TIP) on the patients with depression at mild and moderate stage. Methods: Ten patients with depression at mild and moderate stages accepted TIP management, depression conditions of the patients were assessed using HAMD, HAMA and BDI before the intervention, in four, eight and 12 weeks after the intervention. Results: HAMD, HAMA and BDI scores of the patients lowered in 12 weeks, the significant difference existed before and after management(P<0.05).Conclusion: TIP therapy could improve the symptoms of depression and anxiety of the patients, especially improve the anxiety.
Objective: To discuss the effects of low resistance thought induction psychotherapy(TIP) on the patients with depression at mild and moderate stage. Methods: Ten patients with depression at mild and moderate stages accepted TIP management, depression conditions of the patients were assessed using HAMD, HAMA and BDI before the intervention, in four, eight and 12 weeks after the intervention. Results: HAMD, HAMA and BDI scores of the patients lowered in 12 weeks, the significant difference existed before and after management(P<0.05).Conclusion: TIP therapy could improve the symptoms of depression and anxiety of the patients, especially improve the anxiety.
引文
[1]吕学玉,洪兰,李世通,等.“情志所伤”的低阻抗意念导入管理技术及相关理论探讨[J].中医杂志,2013,54(14):1194-1197.
[2]American Psychiatric Association.Diagnostic and statistical manual of mental disorders[M].Washington:American Psychiatric Association,1994:78-85.
[3]汤毓华,张明园.汉密顿抑郁量表(HAMD)[J].上海精神医学,1984(2):61-64.
[4]汤毓华,张明园.汉密顿焦虑量表(HAMA)[J].上海精神医学,1984(2):64-65.
[5]王振,苑成梅,黄佳,等.贝克抑郁量表第2版中文版在抑郁症患者中的信效度[J].中国心理卫生杂志,2011,25(6):476-480.
[6]汪卫东,李桂侠,洪兰,等.失眠症的创新中医心理治疗-TIP睡眠调控技术简介[J].世界中医药,2014,9(2):253-256.
[7]Williams JM,Barnhofer T,Crane C,et al.Autobiographical memory specificity and emotional disorder[J].Psychological bulletin,2007,133(1):122-148.
[8]罗钧恒.叙事心理管理方法论探析[D].长沙:湖南师范大学,2010.
[9]Payne P,Crane-godreau MA.Meditative movement for depression and anxiety[J].Frontiers in Psychiatry,2013,24(4):71.
[10]高亮.老年人焦虑、抑郁症状的健身气功干预效果研究[J].山东体育学院学报,2016,32(1):56-59.
[11]Kasala ER,Bodduluru LN,Maneti Y,et al.Effect of meditation on neurophysiological changes in stress mediated depression[J].Complementary Therapies in Clinical Practice,2014,20(1):74-80.
[12]Brown BB.Recognition of aspects of consciousness through association with EEG alpha activity represented by a light signal[J].Psychophysiology,1970,6(4):442-452.
[13]Okajima I,Nakamura M,Nishida S,et al.Cognitive behavioural therapy with behavioural analysis for pharmacological treatment-resistant chronic insomnia[J].Psychiatry research,2013,210(2):515-521.
[14]Kyle SD,Aquino MR,Miller CB,et al.Towards standardisation and improved understanding of sleep restriction therapy for insomnia disorder:a systematic examination of CBT-I trial content[J].Sleep Medicine Reviews,2015,23(4):83-88.
[15]Steindorf K,Schmidt ME,Klassen O,et al.Randomized,controlled trial of resistance training in breast cancer patients receiving adjuvant radiotherapy:results on cancer-related fatigue and quality[J].Annals of Oncology:Official Journal of the European Society for Medical Oncology,2014,25(11):2237-2243.
[16]李丽,王淑珍,王庭槐,等.腹式呼吸辅助肌电生物反馈中的心率变异性[J].中国神经精神疾病杂志,2010,36(6):370-372.
[17]张萍,史晓红,张浩,等.腹式呼吸训练作用机制及临床应用[J].现代中西医结合杂志,2012,21(2):222-223.
[2]American Psychiatric Association.Diagnostic and statistical manual of mental disorders[M].Washington:American Psychiatric Association,1994:78-85.
[3]汤毓华,张明园.汉密顿抑郁量表(HAMD)[J].上海精神医学,1984(2):61-64.
[4]汤毓华,张明园.汉密顿焦虑量表(HAMA)[J].上海精神医学,1984(2):64-65.
[5]王振,苑成梅,黄佳,等.贝克抑郁量表第2版中文版在抑郁症患者中的信效度[J].中国心理卫生杂志,2011,25(6):476-480.
[6]汪卫东,李桂侠,洪兰,等.失眠症的创新中医心理治疗-TIP睡眠调控技术简介[J].世界中医药,2014,9(2):253-256.
[7]Williams JM,Barnhofer T,Crane C,et al.Autobiographical memory specificity and emotional disorder[J].Psychological bulletin,2007,133(1):122-148.
[8]罗钧恒.叙事心理管理方法论探析[D].长沙:湖南师范大学,2010.
[9]Payne P,Crane-godreau MA.Meditative movement for depression and anxiety[J].Frontiers in Psychiatry,2013,24(4):71.
[10]高亮.老年人焦虑、抑郁症状的健身气功干预效果研究[J].山东体育学院学报,2016,32(1):56-59.
[11]Kasala ER,Bodduluru LN,Maneti Y,et al.Effect of meditation on neurophysiological changes in stress mediated depression[J].Complementary Therapies in Clinical Practice,2014,20(1):74-80.
[12]Brown BB.Recognition of aspects of consciousness through association with EEG alpha activity represented by a light signal[J].Psychophysiology,1970,6(4):442-452.
[13]Okajima I,Nakamura M,Nishida S,et al.Cognitive behavioural therapy with behavioural analysis for pharmacological treatment-resistant chronic insomnia[J].Psychiatry research,2013,210(2):515-521.
[14]Kyle SD,Aquino MR,Miller CB,et al.Towards standardisation and improved understanding of sleep restriction therapy for insomnia disorder:a systematic examination of CBT-I trial content[J].Sleep Medicine Reviews,2015,23(4):83-88.
[15]Steindorf K,Schmidt ME,Klassen O,et al.Randomized,controlled trial of resistance training in breast cancer patients receiving adjuvant radiotherapy:results on cancer-related fatigue and quality[J].Annals of Oncology:Official Journal of the European Society for Medical Oncology,2014,25(11):2237-2243.
[16]李丽,王淑珍,王庭槐,等.腹式呼吸辅助肌电生物反馈中的心率变异性[J].中国神经精神疾病杂志,2010,36(6):370-372.
[17]张萍,史晓红,张浩,等.腹式呼吸训练作用机制及临床应用[J].现代中西医结合杂志,2012,21(2):222-223.