中等强度有氧运动联合认知行为治疗对轻中度抑郁症患者症状及生活质量的影响

许瑞智　汪晓静　陈倩倩　汤义平

[關键词] 有氧运动;认知行为治疗;抑郁症;生活质量

[中图分类号] R749.4          [文献标识码] B          [文章编号] 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.