中医情志疗法对HIV/AIDS患者焦虑、抑郁及反刍思维的影响  

Effect of Traditional Chinese Medicine Emotional Therapy on Anxiety,Depression and Rumination in HIV/AIDS Patients

作　　者：侯思伟 张斌[2] 张波 曾成伟 刘承梅[1] 徐立然[1] HOU Siwei;ZHANG Bin;ZHANG Bo;ZENG Chengwei;LIU Chengmei;XU Liran(The First Affiliated Hospital to Henan University of Chinese Medicine,Zhengzhou Henan China 450000;Hunan University of Chinese Medicine,Changsha Hunan China 410000;Huaihe Hospital Affiliated to Henan University,Kaifeng Henan China 475000)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450000 [2]湖南中医药大学,湖南长沙410000 [3]河南大学淮河医院,河南开封475000

出　　处：《中医学报》2023年第12期2684-2689,共6页Acta Chinese Medicine

基　　金：国家十三五科技重大专项课题资助项目(2017ZX10205502);国家自然科学基金项目(U1604287);河南省中医中药治疗艾滋病试点项目(2004ZYA109)。

摘　　要：目的:分析中医情志疗法对人类免疫缺陷病毒(human immunodeficiency virus,HIV)/艾滋病(acquired immunodeficiency syndrome,AIDS)患者焦虑、抑郁和反刍思维的影响。方法:100例HIV/AIDS患者且均有焦虑抑郁症状,随机平均分为对照组和观察组。其中对照组给予常规药物治疗,观察组对照组治疗基础上给予中医情志疗法。两组患者均连续干预3个月。在干预前和干预结束时分别采用焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)、反刍思维量表(ruminative responses scale,RRS)对患者进行评估。结果:干预后,观察组SAS评分为(68.450±8.830)分,对照组SAS评分为(74.600±9.342)分,观察组显著低于同期对照组(P<0.05)。观察组SDS评分为(70.525±7.500)分,对照组SDS评分为(76.135±7.534)分,观察组显著低于同期对照组(P<0.05)。观察组RRS评分为(49.290±9.420)分,对照组RRS评分为(57.900±11.112)分,观察组显著低于同期对照组(P<0.05)。结论:中医情志疗法对HIV/AIDS患者具有一定疗效,可以有效降低焦虑抑郁症状,改善患者的反刍思维。Objective:To analyze the effect of emotional therapy of traditional Chinese medicine on anxiety,depression and ruminant thinking of patients with human immunodeficiency virus(HIV)AIDS.Method:100 HIV/AIDS patients with anxiety and depression symptoms were randomly divided into a control group and an observation group.The control group received conventional medication treatment,while the observation group received traditional Chinese medicine emotional therapy based on the treatment.Both groups of patients underwent continuous intervention for 3 months.Before and after the intervention,patients were evaluated using the Self Rating Anxiety Scale(SAS),Self Rating Depression Scale(SDS),and Ruminative Response Scale(RRS).Result:After intervention,the SAS score of the observation group was(68.450±8.830)points,while the SAS score of the control group was(74.600±9.342)points.The observation group was significantly lower than the control group during the same period(P<0.05).The SDS score of the observation group was(70.525±7.500)points,while the SDS score of the control group was(76.135±7.534)points.The observation group was significantly lower than the control group during the same period(P<0.05).The RRS score of the observation group was(49.290±9.420)points,while the RRS score of the control group was(57.900±11.112)points.The observation group was significantly lower than the control group during the same period(P<0.05).Conclusion:Traditional Chinese medicine emotional therapy has a certain therapeutic effect on HIV/AIDS patients,which can effectively reduce anxiety and depression symptoms and improve patients'rumination thinking.

关 键 词：艾滋病 人类免疫缺陷病毒 中医情志疗法 焦虑 抑郁 反刍思维 

分 类 号：R254.3[医药卫生—中医内科学]