|本期目录/Table of Contents|

[1]王玮.正念训练对老年抑郁障碍患者的干预效果[J].慢性病学杂志,2020,21(06):835-839.
　WANGWei.Effect of mindfulness meditation on depression symptoms and sleep quality in elderly depression patients[J].,2020,21(06):835-839.
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正念训练对老年抑郁障碍患者的干预效果

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
21
期数:
2020年06期
页码:
835-839
栏目:
论　著
出版日期:
2020-06-28

文章信息/Info

Title:
Effect of mindfulness meditation on depression symptoms and sleep quality in elderly depression patients
作者:
王玮
山东省精神卫生中心，济南 250014
Author(s):
WANGWei
ShandongMentalHealth Center,Jinan250014,China Correspondingauthor:WANGWei,E-mail:ken521ww@126.com
关键词:
正念训练; 老年; 抑郁障碍; 睡眠质量; 随机对照研究
Keywords:
Mindfulness training;  Old age;  Depression impairment;  Sleep quality;  Random controlled study
分类号:
R749.4
DOI:
-
摘要:
目的 探讨正念训练对不伴精神病性症状的老年抑郁障碍患者的影响。方法 选取2016年12月至2017年 12月山东省精神卫生中心住院的诊断为不伴精神病性症状的抑郁障碍的老年（年龄>60岁）患者。采用随机数字 表随机分为观察组和对照组。对照组均给予艾司西酞普兰常规药物治疗，观察组在常规药物治疗基础上合并正念 训练治疗。于治疗前、治疗2周末、治疗4周末、治疗6周末对两组进行汉密顿抑郁量表（HAMD）评定并比 较。在治疗前、治疗6周末进行睡眠呼吸监测。结果 患者共65例，研究过程中脱落3例，共62例完成数据收 集，其中观察组脱落率6.1%，对照组脱落率3.1%，两组各31例完成数据收集，两组脱落率比较，差异无统计学 意义（P>0.05）。两组患者在性别构成、婚姻状态、平均年龄、平均病程及受教育年限方面比较，差异无统计学 意义（P>0.05）。观察组治疗2周末、治疗4周末、治疗6周末及对照组治疗4周末、治疗6周末HAMD评分均较 治疗前下降（P<0.05）。观察组治疗4周末、治疗6周末HAMD评分均显著低于对照组（P<0.05）。观察组五因 素正念量表（FFMQ）评分均高于治疗前（P<0.05），且治疗2周末、治疗4周末、治疗6周末FFMQ评分均显 著高于对照组（P<0.05）。两组不同时点临床疗效比较，观察组总有效率均优于对照组，差异有统计学意义（P< 0.05）。两组睡眠指标均较治疗前改善，且治疗6周末观察组入睡潜伏期、入睡后觉醒次数较对照组明显减少 （P<0.05），总睡眠时间较对照组明显增加，差异有统计学意义（P<0.05）。结论 不伴精神病性症状的老年抑 郁患者对正念训练接受度、配合度高，正念训练显著改善患者抑郁情绪，提高睡眠质量及正念思维，不良反应 少。
Abstract:
Objective To study the effect of mindfulness meditation on elderly depression patients with-out psychotic symptoms. Methods Elderly patients（age >60 years old）diagnosed depression without psychotic symptoms were selected who were hospitalized in Shandong mental health center from De-cember 2016 to December 2017. The subjects were randomly divided into study group and control group. The control group received the routine treatment of escitalopram. The study group was treated with mindfulness training on the basis of conventional drug therapy. The hamilton depression rating scale （HAMD）of the two groups was evaluated and compared before treatment, and in the end of 2-weeks,4-weeks and6-week treatment. Sleep respiration was monitored before treatment and in the end of 6-week treatment.Results A total of65 people were enrolled. The rate of abscission was 6.1% in the study group and3.1% in the control group, the data of31 cases in the two groups was collected and there was no significant difference between the two groups（P>0.05）. At the end of the2-week,4-week and6-week treatment in the study group and the end of the4-week and6-week treatment in the control group, the HAMD score decreased compared with before treatment （P< 0.05）. The HAMD scores of the study group were significantly lower than those of the control group at the end of the 4-week and6-week treatment（P<0.05）. The scores of FFMQ in the study group were higher than those before treatment（P<0.05）. The FFMQ scores in the study group at the sec-ond, fourth and sixth weekend of treatment were significantly higher than those in the control group （P<0.05）. The total effective rate in the study group were significantly higher than those in the con-trol group （P<0.05）. The sleep indexes of the two groups were improved compared with pretreat-ment. At the end of6-week treatment, the sleep latency and the number of wakes in the study group were significantly reducedP<0.05）, and the total sleep time was significantly increased compared with the control group（P<0.05）. Conclusion The elderly depressive patients without psychotic symptoms have high acceptance and cooperation of mindfulness training. Mindfulness training can significantly im-prove the depression, sleep quality and mindfulness thinking of patients, and with small adverse reac-tions.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：山东省医药卫生科技发展计划项目（2016WS0401） 作者简介：王玮，硕士研究生，主治医师，主要从事精神疾病诊疗研究工作 通信作者：王玮，E-mail：ken521ww@126.com
更新日期/Last Update: 2020-06-28