中等強度有氧運動聯合認知行為治療對輕中度抑郁癥患者癥狀及生活質量的影響

許瑞智　汪曉靜　陳倩倩　湯義平

[關鍵詞] 有氧運動;認知行為治療;抑郁癥;生活質量

[中圖分類號] R749.4? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）22-0105-04

Effects of moderate-intensity aerobic exercise combined with cognitive behavioral therapy on symptoms and quality of life in patients with mild to moderate depression

XU Ruizhi? ?WANG Xiaojing? ?CHEN Qianqian? ?TANG Yiping

Psychosomatic Department， Taizhou Second People′s Hospital， Tiantai? ?317200， China

[Abstract] Objective To explore the effects of moderate-intensity aerobic exercise combined with cognitive behavioral therapy on symptoms and quality of life in patients with mild to moderate depression. Methods A total of 100 patients with mild to moderate depression who received outpatient treatment in our hospital from June 2018 to October 2019 were selected as the research objects and divided into the observation group （n=50） and the control group （n=50） according to the random number table method. The control group received cognitive behavioral therapy and completed daily activities. On the basis of the control group， the observation group received moderate-intensity aerobic exercise training for 12 weeks for 3 times per week， 40 min per time. Self-rating Depression Scale （SDS） and Hamilton Depression Scale-17 （HAMD-17） were used to evaluate depression. Aerobic Exercise Health Knowledge Questionnaire and Exercise Compliance Questionnaire that are made by our hospital were used to evaluate awareness and compliance of aerobic exercise related knowledge. WHOQOL-BREF was used to evaluate the quality of life. Results 46 cases in the observation group and 45 cases in the control group were completed. After intervention， the scores of SDS and HAMD-17 in the observation group were lower than those in the control group， and the differences were statistically significant （t=3.627， 4.844， P<0.05， respectively）; the scores of aerobic exercise health knowledge and exercise compliance in the observation group were higher than those in the control group， and the differences were statistically significant （t=13.585， 11.695， P<0.05， respectively）; the scores in physiological， psychological， social relationship and environmental fields in the observation group were significantly higher than those in the control group， and the differences were statistically significant （t=3.553， 4.145， 4.014， 5.088， P<0.05， respectively）. Conclusion Moderate-intensity aerobic exercise combined with cognitive behavioral therapy can significantly improve the degree of depression and the quality of life in patients with depression.