A Clinical Study On The Treatment Of Depression Based On TCM Psychotherapy Based On The Theory Of Abnormal Personality Development

ObjectTo observe the clinical effect of traditional Chinese medicine under the guidance of the theory of abnormal personality development in the treatment of mild and moderate depression,and to explore the changes of the abnormal personality factors after the TIP treatment and the effect and mechanism of the long-term effect of the depression.MethodsA total of 65 cases were collected by randomized controlled trial,and 65 cases were randomly assigned to the group of TCM Psychotherapy(group TIP)and cognitive behavior therapy group(group CBT).Due to the loss of cases in the treatment process,60 cases were actually completed,30 cases in group TIP,and 30 cases in group CBT.The patients were treated for 12 weeks,and the internationally accepted Hamilton Depression Scale(HAMD),Hamilton's Anxiety Scale(HAMA),and Beck's Depression Scale(BDI)were selected before treatment,4 weeks after treatment,8 weeks after treatment,12 weeks after treatment and 24 weeks after treatment.The patients were followed up and followed up for 3 months.The scale score improvement and the treatment effect of depression were improved;the five state personality scale(FPI)and the retrospective personality development scale(WMPI)were completed before and 12 weeks after treatment.The changes of all factors of five state personality and the dimensions of personality development scale were observed before and after treatment,and the psychological treatment for depression patients was studied.The influence of five state personality and abnormal personality factors.Results(1)Baseline comparisonIn the comparability analysis of the baseline features of the two groups,there were no significant differences in age,sex,age,duration of education,course of disease,baseline score of HAMD scale before treatment,baseline score of HAMA scale,baseline score of BDI scale,baseline score of each factor of FPI scale,and baseline evaluation of each dimension of WMPI scale,and there were no significant differences.It has comparability.(2)Total efficiency12 weeks after treatment,the total effective rate in group TIP was 83.3%,group CBT was 83.3%,and group TIP and CBT had the same effect after 12 weeks of treatment.There was no significant difference(P>0.05).The long-term effect was 93.3%in TIP group and 87.7%in group CBT after treatment.There was significant difference between group TIP and CBT group(P<0.05),TIP long-term effect.Better than the CBT group.(3)HAMD,HAMA,BDI scale scoreThe scores of HAMD,HAMA and BDI in the two groups were lower than those before treatment,and there were significant differences(P<0.05).There was no significant difference between the HAMD scale,HAMA scale and BDI scale(P>0.05)in the TIP and CBT groups at 4,8 and 12 weeks(P>0.05).The improvement degree was similar,and the TIP group was in the same level.Twenty-fourth weeks after treatment,the improvement of HAMD and BDI scores was better than that of CBT group.There was a significant difference(P<0.05),and the long-term effect in TIP group was better than that in CBT group.(4)Factor score of five state personality scaleAfter treatment,the five factor personality scale in the two groups decreased significantly,and there was a significant difference(P<0.05).There was no significant difference in the five state personality scale between the two groups of TIP and CBT groups after the treatment of the sun,yin and Yang,less Yin and Taiyin factors(P>0.05).There was a significant difference after the treatment of Shaoyang factor(P<0.05),but there was no significant difference(P>0.05)before and after treatment in the two groups(P>0.05).There is no statistical significance.(5)The dimensions of the WMPI scaleIn the two groups,there were significant differences in the self-dimension of the WMPI's childhood(T),the childhood(S)aspiration,the youth(Q)life events,the interpersonal communication and the aspiration(P<0.05).The improvement of the above dimensions in the TIP group was obviously superior to that of the CBT group,and the other dimensions of the other childhood,juvenile and youth stages were not significant.The difference was P>0.05.There was no significant difference in the other dimensions between TIP group and CBT group after treatment.After the treatment of group TIP,the childhood(T)life events,the courage,the self,the way of thinking,the childhood(S)life events,the aspiration,the youth(Q)courage,the way of thinking,the interpersonal communication and the aspiration were significantly different than those before the treatment(P<0.05).The treatment of TIP group has improved the above dimension,CBT group.After treatment,there was no significant difference between the two groups(P>0.05),but no improvement in all stages.Conclusions(1)Under the guidance of the theory of abnormal personality development,the treatment of mild to moderate depression in patients with low and moderate depressive disorder(TIP)has significantly reduced the total score of the HAMD,HAMA and BDI scales,and has a similar therapeutic effect with cognitive behavioral therapy(CBT).(2)The long-term treatment and rehabilitation effects of group TIP on depression were significantly better than those of group CBT.(3)TIP therapy has a significant improvement in the abnormal personality factors of patients with depression,and has an improvement effect on the risk factors of depression.(4)WMPI Inventory set measurement and guidance treatment are one.On the basis of following the theory of physique and spirit of traditional Chinese medicine and treatment of disease,the development of abnormal personality of the depressive patients is explored through WMPI.The formation time of the potential human element of the patients with depression and the depressive onset are found in combination with the outline type operation.The influencing factors and current influencing factors of the disease in the past,the analysis of the psychological pathogenesis of the depressive patients and the treatment under the guidance of WMPI are not only consistent with the individualized differentiation and treatment advocated now,but also can solve the problems fundamentally.Not only can the short-term effect in the treatment process be obtained,but also the long-term society can be achieved.The function of rehabilitation and rehabilitation is of great importance in the clinical diagnosis and treatment of depression.