瑜伽训练艺术行为干预对失眠共病抑郁障碍患者的疗效  

The effect of art behavior intervention of yoga training on patients with insomnia comorbid depressive disorder

作　　者：马欣荣[1] 宋广荣 马陈雯姝 周永玲[1] 张月兰[1] 程瑞霞 江洪 Ma Xinrong;Song Guangrong;Ma Chenwenshu;Zhou Yongling;Zhang Yuelan;Cheng Ruixia;Jiang Hong(Sleep and Psychological Department,Ningxia Mental Health Center and Ningxia Ningan Hospital,Yinchuan 750021,China;Department of Scientific Research,Ningxia Maternal and Child Health Care Hospital,Yinchuan 750001,China;Department of Scientific Research,Ningxia the 4th People's Hospital,Yinchuan 750021,China)

机构地区：[1]宁夏精神卫生中心,宁夏回族自治区宁安医院睡眠心理科,银川750021 [2]宁夏回族自治区妇幼保健院科研科,银川750001 [3]宁夏回族自治区第四人民医院科研科,银川750021

出　　处：《中华行为医学与脑科学杂志》2020年第8期694-699,共6页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：宁夏回族自治区科技厅重点研发计划项目(2018BEG03057);宁夏回族自治区卫生健康系统课题(2019-NW-051)。

摘　　要：目的探讨瑜伽训练艺术行为干预对失眠共病抑郁障碍患者的疗效。方法将66例失眠共病抑郁障碍患者随机分为研究组(n=36)和对照组(n=30),两组均给予药物治疗,研究组同时给予20次瑜伽训练艺术行为干预。采用自编一般情况调查表收集患者的社会人口学资料和临床资料,采用整夜多导睡眠监测系统(polysomnograhy,PSG)记录患者的客观睡眠参数。在干预前后采用匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评估患者的主观睡眠质量,采用汉密尔顿抑郁量表(Hamilton depression scale,HAMD-24)和汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)分别评估患者的抑郁症状和焦虑症状。结果研究组在干预前后的PSQI总分差值[研究组(11.00±2.72)分、对照组(9.00±2.22)分]、睡眠效率因子分差值[研究组(2.02±0.81)分、对照组(1.53±0.77)分]、日间功能障碍因子分差值[研究组(1.75±0.90)分、对照组(0.96±0.85)分]、HAMD总分差值[研究组(12.19±6.25)分、对照组(8.03±5.67)分]和HAMA总分差值[研究组13.00(8.25,16.75)分、对照组7.00(5.00,9.25)分]均明显高于对照组(t=3.220,2.516,3.595,2.806,Z=-3.616,均P<0.05)。结论瑜伽训练艺术行为干预有助于改善失眠共病抑郁障碍患者的主观睡眠质量及抑郁和焦虑症状,值得在临床中推广应用。Objective To investigate the effect of art behavior intervention of yoga training on patients with insomnia comorbid depressive disorder.Methods Totally 66 patients with insomnia comorbid depressive disorder were randomly divided into the study group(n=36)and the control group(n=30).All patients in two groups were given pharmacotherapy,while the patients in the study group were received art behavior intervention of yoga training for 20 times.Using self-made general information questionnaire to collect the patients'demographic and clinical characteristics.Polysomnography(PSG)was performed to measure objective sleep parameters.The Pittsburgh sleep quality index(PSQI),Hamilton depression scale(HAMD)and Hamilton anxiety scale(HAMA)were used to measure subjective sleep quality,depressive symptoms and anxiety symptoms at baseline and at the end of the interventions.Results The score differences of pre-and post-intervention in the two group of PSQI total score((11.00±2.72)vs(9.00±2.22)),habitual sleep efficiency((2.02±0.81)vs(1.53±0.77)),daytime dysfunction((1.75±0.90)vs(0.96±0.85)),HAMD total score((12.19±6.25)vs(8.03±5.67))and HAMA total score(13.00(8.25,16.75)vs 7.00(5.00,9.25))in the study group were obviously higher than those in the control group(t=3.220,2.516,3.595,2.806,Z=-3.616,all P<0.05).Conclusion Art behavior intervention of yoga training can improve sleep quality,depression and anxiety symptoms in patients with insomnia comorbid depressive disorder,which will be applied and popularized in clinical practice.

关 键 词：行为干预 瑜伽训练 失眠 抑郁障碍 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R740[医药卫生—临床医学]