Gao Lei, Zhang Linlin, Qi Hua, Petridis Louyis
Department of Orthopaedics, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China.
Psychiatr Danub. 2016 Dec;28(4):372-378.
Depression is one of the most common psychiatric illnesses among perimenopausal women. Currently, drug treatments for the disorder tend to have higher risks than other forms of treatment. On the contrary, aerobic exercise can effectively relieve menopausal syndrome among perimenopausal women. Square dance, a kind of aerobic exercise favored by middle-aged women in China, could be a beneficial intervention for perimenopausal depression.
A total of 321 women in perimenopause were chosen from Nangang Community, DaoLi Community, and Daowai Community in Harbin, Heilongjiang Province, from September 2015 through April 2016. Of the women with depressive symptoms, 60 did not participate in square dance. The subjects were randomly assigned to the intervention group (n=26) and control group (n=24). Intervention group patients participated in guided square dance exercise 60-90 min at least 5 times per week at a regular time for 3 months. The women in the control group received no intervention.
Of the screened subjects, 72 women (22.4%) suffered mild to severe depression; younger, working married women who square danced regularly presented a low depression rate (p<0.05). The depression index score of the intervention group after three months was 0.43±0.09, a statistically significant decrease (t=5.658, p<0.001). The difference in the depression index changes of the intervention and control group was also significant (t=5.407, p<0.001).
The depression rate among women in perimenopause is high. Some intervention measures, such as promoting female employment, organizing collective activities for retired or unemployed women, and stabilizing family ties can prevent or improve the depression of women in perimenopause. Square dance can effectively reduce the depression levels of women in perimenopause.
抑郁症是围绝经期女性中最常见的精神疾病之一。目前，该疾病的药物治疗往往比其他治疗形式具有更高的风险。相反，有氧运动可以有效缓解围绝经期女性的更年期综合征。广场舞是中国中年女性喜爱的一种有氧运动，可能是围绝经期抑郁症的有益干预措施。
2015年9月至2016年4月，从黑龙江省哈尔滨市南岗社区、道里社区和道外社区选取了321名围绝经期女性。在有抑郁症状的女性中，60人未参加广场舞。将受试者随机分为干预组（n = 26）和对照组（n = 24）。干预组患者每周至少定期参加5次、每次60 - 90分钟的有指导的广场舞锻炼，持续3个月。对照组女性不接受干预。
在筛查的受试者中，72名女性（22.4%）患有轻度至重度抑郁症；经常跳广场舞的年轻、在职已婚女性抑郁症发病率较低（p < 0.05）。三个月后干预组的抑郁指数评分为0.43±0.09，有统计学意义的下降（t = 5.658，p < 0.001）。干预组和对照组抑郁指数变化的差异也具有统计学意义（t = 5.407，p < 0.001）。
围绝经期女性的抑郁症发病率较高。一些干预措施，如促进女性就业、为退休或失业女性组织集体活动以及稳定家庭关系，可以预防或改善围绝经期女性的抑郁症。广场舞可以有效降低围绝经期女性的抑郁水平。
