河北中医2026，Vol.48Issue(4)：619-623,5.DOI:10.3969/j.issn.1002-2619.2026.04.018
振腹推拿联合情志调控在抑郁症合并失眠患者中的应用评价
Evaluation of vibratory abdominal massage and emotional regulation intervention in patients with depression and comorbid insomnia
摘要
Abstract
Objective To evaluate the clinical efficacy of vibratory abdominal massage therapy and an emotional-regulation program in patients with depression comorbid with insomnia.Methods A total of 100 patients with depression and comorbid insomnia admitted between September 2023 and September 2024 were enrolled and randomized into two groups of 50 patients each.The control group received routine conventional Western medical treatment;the study group received the same standard care plus adjunctive vibratory abdominal massage therapy and an emotional-regulation management program.Both groups underwent a 4-week intervention.Outcome measures included the Beck Depression Inventory(BDI),the Self-Disgust Scale,the Insomnia Severity Index(ISI),the Pittsburgh Sleep Quality Index(PSQI),the Psychological Resilience Scale(subscales:tenacity/control,strength,optimism),and the General Quality of Life Inventory(GQOLI-74;domains:psychological,physical,material life status,social function).Changes in these scores before and after treatment were compared between groups.Results Within-group comparisons showed that both groups experienced significant reductions in BDI and Self-Disgust scores after treatment(P＜0.05);post-treatment scores in the study group were significantly lower than those in the control group(P＜0.05).Both groups showed significant improvements in ISI and PSQI scores after treatment compared with baseline(P＜0.05),with the study group demonstrating greater post-treatment reductions than the control group(P＜0.05).Scores on the Psychological Resilience Scale across tenacity/control,strength,and optimism domains significantly increased in both groups after treatment(P＜0.05),and post-treatment scores were significantly higher in the study group than in the control group(P＜0.05).Similarly,GQOLI-74 scores across psychological,physical,material life status,and social function domains improved significantly in both groups after treatment(P＜0.05),with the study group showing superior gains compared with the control group(P＜0.05).Conclusion Adjunctive vibratory abdominal massage therapy and emotional-regulation management appears to improve psychological symptoms,enhance psychological resilience,and increase sleep quality and overall quality of life in patients with depression comorbid with insomnia.关键词
抑郁症/失眠/推拿疗法/中医疗法/情志Key words
Depression/Insomnia/Massage therapy/Traditional Chinese medicine therapy/Emotion分类
医药卫生引用本文复制引用
常洁,张青,余涛,管言婷,朴雪花..振腹推拿联合情志调控在抑郁症合并失眠患者中的应用评价[J].河北中医,2026,48(4):619-623,5.基金项目
江苏省卫生健康委科研项目(编号:Z2021044) （编号:Z2021044）
