Effects of relative bedrest condition Morita therapy on personality characteristics and efficacy of patients with recurrent depressive disorder / 中华行为医学与脑科学杂志

ABSTRACT

Objective:To investigate the effect of Relative Bedrest Condition Morita Therapy(RBCMT) on the improvement of depression and anxiety symptoms and personality in patients with recurrent depression disorder.Methods:Seventy patients with recurrent depressive disorder hospitalized in Kailuan Mental Health Center were randomly divided into study group and control group( n=35 in each group) from June to October, 2019.The study group was given RBCMT on the basis of conventional treatment and nursing.The Eysenck personality questionnaire (EPQ), Hamilton depression scale (HAMD) and Hamilton anxiety scale (HAMA) were used to assess the clinical symptoms and personality characteristics of the patients and to analyze and compare them. Results:(1) EPQ score in each dimension There were significant differences within group among different time in introverted and extroverted dimension (study group baseline 46.14±10.99, the fifth weekend 50.43±8.86, the eighth weekend 53.86±7.08, F=6.291, P=0.003.Control group baseline 45.29±8.99, the fifth weekend 48.29±8.31, the eighth weekend 50.29±7.57, F=3.211, P=0.044) and neuroticism dimension score (study group baseline 60.14±5.49, the fifth weekend 53.29±4.53, the eighth weekend 50.57±4.33, F=36.809, P<0.001.Control group baseline 60.29±6.18, the fifth weekend 55.86±6.00, the eighth weekend 53.14±5.30, F=13.353, P<0.001) among different time points in the group.Neuroticism scores between the two groups at the same time were statistically significant(the fifth weekend F=4.095, P=0.047, the eighth weekend F=4.940, P=0.030). After 8 weeks of inclusion, there was a statistically significant difference between the two groups in the score of introverted and extroverted dimension ( F=4.157, P=0.045). There was no significant difference in the score of spiritual quality dimension at different time within the group or at the same time point between the groups.(2)HAMD score There were statistically significant differences within group among different time(study group baseline 32.00±4.04, the fifth weekend 15.23±5.01, the eighth weekend 9.31±3.15, F=282.376, P<0.001.Control group baseline 31.91±4.59, the fifth weekend 17.86±5.11, the eighth weekend 11.17±3.64, F=195.019, P<0.001), and the differences between the two groups at the same time were statistically significant (the fifth weekend F=4.724, P=0.033, the eighth weekend F=5.205, P=0.026). (3)HAMA score There were statistically significant differences within group among different time(study group baseline 18.69±8.87, the fifth weekend 10.34±5.34, the eighth weekend 7.97±2.98, F=28.679, P<0.001.Control group baseline 18.60±8.02, the fifth weekend 13.31±6.35, the eighth weekend 10.37±4.86, F=14.241, P<0.001). The difference between the two groups at the same time point was statistically significant (the fifth weekend F=4.161, P=0.045, the eighth weekend F=8.315, P=005). (4)Multiple linear regression results indicated that RBCMT ( β=-0.312, t=-2.360, P=0.022) and introverted and extroverted dimension personality ( β=-0.334, t=-2.355, P=0.022) were the influencing factors of HAMA. Conclusion:Compared with the conventional treatment, the Relative Bedrest Condition Morita Therapy can reduce the anxiety symptoms and improve the depressive symptoms by enhancing the extraversion personality characteristics of the patients.