中国健康心理学杂志2019，Vol.27Issue(1)：10-14,5.DOI:10.13342/j.cnki.cjhp.2019.01.004
混合性焦虑抑郁障碍患者的中医证候与中医体质
The study of TCM syndrome and TCM physique in patients with mixed anxiety and depressive disorder
摘要
Abstract
Objective:To explore the difference between mixed anxiety and depressive disorder (MADD) and nonmixed anxiety depression disorder (control group) in the scores of SCL-90 factors and TCM syndrome, so as to provide support for the treatment of MADD with traditional Chinese medicine.Methods:According to the Hospital Anxiety and Depression Scale (HADS) and Symptoms self-rating scale (SCL-90), combined with interview, diagnosed with MADD by the clinical psychology doctor in the hospital of integrated TCM&WM at north China university of science and technology, 150 patients with MADD and 134patients of the control group were treated.All types of Chinese traditional Chinese medicine were determined by the"TCM constitutions classification and determination scale", at the same time, the TCM syndrome were diagnosed by experienced TCM expert group.Results: (1) he score of HDS scale was positively correlated with SCL-90 depression factor score and the score of HAS scale was positively correlated with SCL-90 depression factor score (r=0.349, 0.370;P<0.01) (2) The TCM syndromes of six TCM syndromes in MADD group was:Liver qi stagnation syndrome (27.3％)>phlegm stagnation syndrome (26.0％)>qi stagnation of fire syndrome (22.7％)>heart and spleen deficiency syndrome (16.0％)>heart and kidney deficiency syndrome (6.0％)>lack of heart and energy syndrome (2％). (3) The traditional Chinese medicine physique of MADD patients had most qi stagnation (27.3％), followed by yin deficiency (18.0％), qi deficiency (13.3％), blood stasis (12.0％), damp heat (10.7％), phlegmatic hygrosis (9.3％), yang deficiency (8.7％), intrinsic physical characteristics (0.7％), no moderate physical quality.In the control group, the highest was moderate physical quality (34.3％), followed by yang deficiency (14.2％), damp heat (13.4％), blood stasis (11.9％), qi deficiency (9.7％), yin deficiency (9.0％), phlegmatic hygrosis (7.5％), no qi stagnation and intrinsic physical characteristics.Compared with the MADD group and control group, the TCM syndromes of the control group was significantly better than that of MADD group. (4) The depression were heavily influenced by TCM syndromes (=21.896, P<0.01).The anxiety were heavily influenced by TCM syndromes (=12.376, P<0.05), which was statistically significant. (5) The liver qi stagnation syndrome was closely related to qi deficiency (31.71％), blood stasis (26.83％) and qi stagnation (17.07％).The qi stagnation of fire syndrome was closely related to qi stagnation (69.23％).The phlegm stagnation syndrome was closely related to phlegmatic hygrosis (29.41％), damp heat (23.53％) and qi stagnation (20.59％).The heart and spleen deficiency syndrome was closely related to yin deficiency (37.50％), damp heat (29.17％) and qi deficiency (16.67％).The heart and kidney deficiency syndrome was closely related to yin deficiency (77.78％).The lack of heart and energy syndrome was closely related to qi deficiency (66.67％) and yin deficiency (33.33％).Conclusion:The more severe the depression and anxiety in the SCL-90 in MADD group, the more severe the depression symptoms of the depression scale (HDS component table) and the more anxiety symptoms of anxiety scale (HAS component table).In the MADD group, the most common cases are liver qi stagnation syndrome and phlegm stagnation syndrome, followed by qi stagnation of fire, heart and spleen deficiency syndrome, heart and kidney deficiency syndrome and lack of heart and energy.The person more with qi stagnation easily get to the MADD.The more seriously the TCM syndromes it gets the seriously depression or anxiety it is.Although the TCM physique is closely related to the TCM syndromes, they are not complete coincident.关键词
混合性焦虑抑郁障碍/中医证候/中医体质/心理因素Key words
Mixed anxiety and depressive disorder/TCM syndromes/TCM physique/Psychological factors分类
医药卫生引用本文复制引用
王莹,靳文秀,赵阳,刘柏汐,王成刚..混合性焦虑抑郁障碍患者的中医证候与中医体质[J].中国健康心理学杂志,2019,27(1):10-14,5.基金项目
华北理工大学研究生教改重点课题(编号:Q1501) （编号:Q1501）
