Department of Neurology, The Second Affiliated Hospital, Hengyang Medical School, University of South China, 421001 Hengyang, Hunan, China.
Department of Traditional Chinese Medicine, The Second Affiliated Hospital, Hengyang Medical School, University of South China, 421001 Hengyang, Hunan, China.
Actas Esp Psiquiatr. 2024 Aug;52(4):542-548. doi: 10.62641/aep.v52i4.1801.
This study aims to explore the clinical effect of psychotherapy based on five-element theory in traditional Chinese medicine (TCM) in improving the mental states of patients with post-stroke depression (PSD), to provide reference and guidance for clinical treatment.
A retrospective study was conducted on 163 PSD cases treated in The Second Affiliated Hospital, Hengyang Medical School, University of South China from January 2022 to January 2023. The patients treated with conventional treatment were included in the control group (n = 84), and patients receiving psychotherapy based on five-element theory in TCM and conventional treatment were classified as the observation group (n = 79). The anxiety levels, depression levels, TCM syndrome scores and sleep quality were compared in both groups. The enumeration data were tested by χ2 test. Kolmogorov-Smirnov method tested whether the measurement data met normal distribution, and those did not meet normal distribution were tested by Mann-Whitney method. The difference was statistically significant at p < 0.05.
After 4-week and 8-week treatments, the observation group had significantly lower scores of Hamilton Anxiety Scale (z = -4.562, -6.765; p < 0.001), Hamilton Depression Scale (z = -7.588, -8.023; p < 0.001), TCM syndrome (z = -7.138, -10.946; p < 0.001), and Pittsburgh sleep quality index (z = -6.819, -8.240; p < 0.001) than the control group.
Psychotherapy based on five-element theory in TCM is beneficial to patients with PSD and can bring a certain clinical reference value.
本研究旨在探讨基于中医五行理论的心理治疗对改善中风后抑郁（PSD）患者精神状态的临床效果，为临床治疗提供参考和指导。
对 2022 年 1 月至 2023 年 1 月在南华大学附属第二医院接受治疗的 163 例 PSD 患者进行回顾性研究。将接受常规治疗的患者纳入对照组（n=84），将接受中医五行理论心理治疗和常规治疗的患者分为观察组（n=79）。比较两组患者的焦虑水平、抑郁水平、中医证候评分和睡眠质量。计数资料采用 χ2 检验，不符合正态分布的计量资料采用 Kolmogorov-Smirnov 检验，不符合正态分布的计量资料采用 Mann-Whitney 检验。p<0.05 为差异有统计学意义。
治疗 4 周和 8 周后，观察组汉密尔顿焦虑量表（z=-4.562，-6.765；p<0.001）、汉密尔顿抑郁量表（z=-7.588，-8.023；p<0.001）、中医证候（z=-7.138，-10.946；p<0.001）和匹兹堡睡眠质量指数（z=-6.819，-8.240；p<0.001）评分均显著低于对照组。
中医五行理论心理治疗对 PSD 患者有益，能带来一定的临床参考价值。
