Shojaeddin Arista, Jafarian Namini Fariba, Razzaghi Zahra, Abbass Allan, Ghorbani Nima
Laser Application in Medical Science Research Center, Shahid Beheshti University of Medical Science, Tehran, Iran.
Department of Psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran.
Basic Clin Neurosci. 2025 Jan-Feb;16(1):131-142. doi: 10.32598/bcn.2024.5960.2. Epub 2025 Jan 1.
While major depression has been treated with laser acupuncture (LA) and intensive short-term dynamic psychotherapy (ISTDP), the relative efficacy of these two methods and their combination is unclear. ISTDP is a form of dynamic psychotherapy that enables the experience and processing of blocked complex feelings, while LA is based on the opening of blocked energy meridians. The present study aimed to compare the effectiveness of LA and ISTDP and their combination in treating major depression.
A randomized controlled trial was carried out with 45 depressed patients on three equal arms (15 patients in each group): Group I) LA, group II) ISTDP, and group III) combined LA and ISTDP. The participants were evaluated at six time points using the Hamilton rating depression scale (HDRS), structured clinical interview for structured clinical interview for DSM (SCID), and symptom checklist-90 (SCL90), including baseline, session 8, session 12, 1-month follow-up, 2-month follow-up, and 3- month follow-up.
HDRS and SCID ratings showed within-group reductions in SCL90 and HDRS scores in the three groups over time. At one of the follow-up times, combined LA+ISTDP showed a greater reduction than either individual treatment on the SCL-90 depression subscale but not on HDRS or SCID.
Based on releasing blocked energies, the results of this study indicate that LA and ISTDP are effective in treating major depression. The combination of the two methods may be more effective in reducing depression symptoms.
虽然重度抑郁症已采用激光针灸（LA）和强化短期动力心理治疗（ISTDP）进行治疗，但这两种方法及其联合使用的相对疗效尚不清楚。ISTDP是一种动力心理治疗形式，能够体验和处理被阻断的复杂情感，而LA则基于打通被阻塞的经络。本研究旨在比较LA和ISTDP及其联合使用在治疗重度抑郁症方面的有效性。
对45名抑郁症患者进行了一项随机对照试验，分为三个相等的组（每组15名患者）：第一组）LA，第二组）ISTDP，第三组）LA与ISTDP联合使用。使用汉密尔顿抑郁评定量表（HDRS）、精神疾病诊断与统计手册（DSM）结构化临床访谈以及症状自评量表90（SCL90）在六个时间点对参与者进行评估，包括基线、第8次治疗、第12次治疗、1个月随访、2个月随访和3个月随访。
HDRS和SCID评分显示，随着时间的推移，三组的SCL90和HDRS评分在组内均有所降低。在其中一次随访时，联合使用LA + ISTDP在SCL - 90抑郁子量表上的降低幅度大于任何一种单独治疗，但在HDRS或SCID上则不然。
基于释放被阻塞的能量，本研究结果表明LA和ISTDP在治疗重度抑郁症方面是有效的。两种方法联合使用可能在减轻抑郁症状方面更有效。
