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电针对抑郁症患者人格特质的影响:一项随机对照研究。

Effects of electro-acupuncture on personality traits in depression: a randomized controlled study.

机构信息

Department of Psychology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, China,

出版信息

Chin J Integr Med. 2013 Oct;19(10):777-82. doi: 10.1007/s11655-013-1594-4. Epub 2013 Oct 4.

DOI:10.1007/s11655-013-1594-4
PMID:24092242
Abstract

OBJECTIVE

To explore the personality-adjusting effect of electro-acupuncture treatment for depression and compared this treatment with paroxetine treatment.

METHODS

A non-blinded, randomized controlled trial was adopted. Sixty depressed patients, who met trial criteria, were randomly assigned to the treatment and the control groups. In the treatment group, electro-acupuncture treatment was used, and paroxetine treatment was used in the control group. During the 24-week study period, 12 patients dropped out and 48 patients completed the study. The Minnesota Multiple Personality Inventory (MMPI) was adopted as the evaluation tool. At the same time, the Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS) and Montgomery-Asberg Depression Rating Scale (MADRS) were used to evaluate the psychological state. Evaluations were done before and after treatment.

RESULTS

After treatment, patients' psychological state improved significantly in both groups (P<0.01). For the treatment group, within-group comparison between baseline and after 24 weeks of treatment showed that severity of depression had significantly decreased (P<0.01). MADRS and SDS scores decreased significantly (P<0.05) and MMPI subscale scores for hypochondriasis, depression, psychopathic deviate, psychasthenia, social introversion and fake decreased significantly (P<0.05). For the control group, severity of depression also decreased significantly. MADRS and SDS scores decreased significantly (P<0.05); and MMPI subscale scores for hypochondriasis, depression, hysteria, paranoia, and psychasthenia decreased significantly (P<0.05). Between-group comparison demonstrated that for the MMPI subscales paranoia and social introversion, the decrease of score was greater in the treatment group than in the control group (P<0.05). However, there were no other significant differences between the control group and the treatment group.

CONCLUSION

Electro-acupuncture is effective for treating depression and affects personality traits.

摘要

目的

探讨电针治疗抑郁症的人格调整作用,并将其与帕罗西汀治疗进行比较。

方法

采用非盲、随机对照试验。符合试验标准的 60 例抑郁症患者被随机分配到治疗组和对照组。在治疗组中,采用电针治疗,对照组采用帕罗西汀治疗。在 24 周的研究期间,有 12 名患者脱落,48 名患者完成了研究。采用明尼苏达多项人格问卷(MMPI)作为评价工具。同时,采用自评抑郁量表(SDS)、自评焦虑量表(SAS)和蒙哥马利-阿斯伯格抑郁评定量表(MADRS)评价心理状态。治疗前后进行评估。

结果

治疗后,两组患者心理状态均明显改善(P<0.01)。治疗组治疗前后组内比较显示,抑郁严重程度明显降低(P<0.01)。MADRS 和 SDS 评分明显降低(P<0.05),疑病症、抑郁、精神病态、神经质、社会内向和诈病亚量表评分明显降低(P<0.05)。对照组抑郁严重程度也明显降低,MADRS 和 SDS 评分明显降低(P<0.05);疑病症、抑郁、癔症、偏执狂和神经质亚量表评分明显降低(P<0.05)。组间比较显示,在偏执狂和社会内向的 MMPI 亚量表上,治疗组的评分下降幅度大于对照组(P<0.05)。但对照组与治疗组之间无其他显著差异。

结论

电针治疗抑郁症有效,且影响人格特质。

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