孟根花 纳贡毕力格 沙日耐 李浩军

[摘要] 目的 评价蒙医心身互动疗法对抑郁症认知功能的影响。 方法 选取2015年6月～2016年6月在内蒙古国际蒙医医院心身医学科门诊就诊的抑郁症患者30例，所有患者均进行蒙医心身互动治疗，疗程为21 d。采用焦虑、抑郁自评量表（SAS、SDS）评估患者治疗前与治疗后临床症状，观察其负性情绪的变化；采用重复性成套神经心理状态测试（RBANS）、Stroop-色词测验等评估患者认知功能，分析认知功能的变化。 结果 患者SAS、SDS评分治疗前后比较，差异有高度统计学意义（P < 0.01）。Stroop-色词测验中，单色时间治疗前后比较，差异有高度统计学意义（P < 0.01），但单字时间、颜色干扰时间以及字意干扰时间治疗前后比较，差异无统计学意义（P > 0.05）。RBANS测验中即刻记忆、言语功能、延时记忆等3个指标治疗前后比较，差异有高度统计学意义（P < 0.01），注意部分治疗前后比较，差异有统计学意义（P < 0.05），但视觉广度治疗前后比较，差异无统计学意义（P > 0.05）。 结论 蒙医心身互动疗法治疗抑郁症21 d，能改善患者的一部分认知功能，同时减轻抑郁焦虑等临床症状。

[关键词] 蒙医心身互动疗法；抑郁症；认知功能

[中图分类号] R749.3 [文献标识码] A [文章编号] 1673-7210（2018）10（b）-0169-04

[Abstract] Objective To evaluate the effect of Mongolian mind-body interactive psychotherapy on cognitive function of depression. Methods From June 2015 to June 2016， in Inner Mongolia International Mongolian Hospital， 30 depression patients given Mongolian mind-body interactive treatment for 21 d were selected. SAS and SDS were given before and after treatment to evaluate clinical symptoms， and observe the improvement of depression； repetitive complete neuropsychological state test （RBANS） and Stroop color words test were used to evaluated cognition function， change of cognition function were analyzed. Results The scores of SAS， SDS before and after treatment were compared， the difference was statistically significant （P < 0.01）. In Stroop test， single color test time before and after treatment was compared， the difference was statistically significant （P < 0.01）， but color interference， single word test time， color interference test time， word meaning interference test time before and after treatment were compared， the differences were not statistically significant （P > 0.05）. The RBANS test showed three indexes such as immediate memory， speech function and delayed memory before and after treatment was compared， the differences were statistically significant （P < 0.01）， and the attention before and after treatment was compared， the difference was statistically significant （P < 0.05）， but visual range before and after treatment was compared， the difference was not statistically significant （P < 0.05）. Conclusion A 21 d of Mongolian mind-body interactive psychotherapy can improved the part of cognitive function， and reduce the depression symptoms.

[Key words] Mongolian mind-body interactive therapy； Depression； Cognitive function

随着社会经济的发展及生活节奏加快，人们承受的心理和精神等方面的压力逐渐增加，抑郁障碍发病率逐年增高。抗抑郁症药物治疗早期疗效一般在2～4周起效，而其不良反应则在服药后很快出现，导致患者自行减少药物剂量或提前中断治疗等[1]。每年有几十亿美元的费用被用于抑郁症的治疗。一项世界卫生组织牵头的研究指出，预计在2016～2030这15年间，以心理咨询和抗抑郁药物为主的治疗费用会达到1470亿美元[2]。1993年世界卫生组织进行综合医院就诊患者的全球性合作研究显示，抑郁障碍和恶劣心境高达12.5%[3]。闫芳等[4]调查发现，我国抑郁障碍患病率各地区的差异较大，约为1.6%～4.1%。……