针治疗在中风后抑郁和焦虑障碍中的有效性:一个前性,随机的,受控的,单盲研究
Eser Kalaoğlu1, Fatma Nur Kesiktaş1, Ömer Faruk Bucak1
1Istanbul Physical Therapy Rehabilitation Training and Research Hospital Istanbul, İstanbul, Turkey.
概括
针治疗在4周内没有显著的差异,减少了中风后的抑郁和焦虑. 然而,它在第8周导致抑郁症得分降低,并减少了中风患者增加SSRI药物的需要.
科学领域:
- 神经学 神经学
- 综合医学是一个整体的医学.
- 精神病学是一个精神病学.
背景情况:
- 脑卒中后的抑郁和焦虑障碍很常见,并显著影响患者的康复.
- 焦虑缓解和镇静药物的使用通常是必要的,但可能会产生副作用.
研究的目的:
- 评估针在治疗中风后患者的抑郁和焦虑症方面的有效性.
- 为了确定针是否可以减少对抗焦虑和镇静药物的依赖.
主要方法:
- 54名患有抑郁症/焦虑症的中风患者被随机分为针或对照组.
- 两组都接受了传统的康复治疗;针组接受了额外的每周两次会议,持续4周.
- 患者在基线,第4周和第8周使用汉密尔顿抑郁评分表 (HAM-D) 和汉密尔顿焦虑评分表 (HAM-A) 进行评估.
主要成果:
- 这两组在8周内HAM-D和HAM-A得分均显著下降.
- 在4周后,HAM-A或HAM-D分数在两组之间没有显著差异.
- 针组在第8周的HAM-D得分显著下降 (p <0.025).
- 对照组在第4周的SSRI剂量显著增加.
结论:
- 针在4周内没有满足抑郁症和焦虑症的主要结局措施.
- 二次结果发现表明,针可能有助于减轻卒中幸存者的抑郁症在第8周.
- 需要进一步的研究来证实针治疗中风后情绪障碍的有效性和安全性.
更多相关视频
相关概念视频
02:07Blind Procedures
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which child was...
01:25Cognitive Therapy
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...