Prevention Of Recurrence Of Single-phrase Depression With Sequenced Treatment Including Traditional Chinese Medicine

Objective: study the effect of prevention of recurrence of depression that treated by psychological therapy combined with traditional Chinese medicine.In order to find the best mode to prevent the depression from recurring, and probe into the theory of traditional Chinese medicine about prevention and treatment of depression from clinical study, as well as guide the clinical treament better.Methods:This study collects 240 samples of severe single-phase depression patients that were successfully cured by antidepressant. They are randomly divided into control treatment group, cognitive behavioral therapy group, cognitive behavioral terapy plus traditional Chinese medicine group.Cognitive Therapy Group: The experienced psychiatric experts use the designed strategies and skills to help the depression patients to correct their distorted ideas and non-adaptive beliefs. There are 10 times of psychological intervention. Each lasts 30-45 minutes for every two weeks.Cognitive Therapy Plus traditional Chinese Medicine Treatment Groups: The treatment includes all methods of cognitive therapy group and traditional Chinese medicine treatment. The traditional Chinese medicine treatment is based on dialectic method. We use the soup or traditional Chinese medicine according to the type of the disease and additional symptom.Control group: Make sure that the patients stop taking the medicine gradually, review the patients' clinical conditions, and provide support and suggestions when needed by the patients. In clinical treatment, special intervention treatment, such as exposure therapy, treatment of day work, cognitive restructuring are prohibited.the effects of the treatments respectively in the first, second, and third year of treatments were observed. After counting the rate of recurrence, the change of HAMD score and its rate of decreasing score, comparison of the quality of life according to statistic standard, the corresponding statistical analysis was finished.Results: After five months of treatment, the recurrence rate of control group is 9.09%, cognitive therapy group 8.95%, cognitive therapy plus traditional Chinese medicine treatment group 7.46%. A year later, the recurrence rate of control group is 34.85%, cognitive therapy group 31.34%, cognitive therapy plus traditional Chinese medicine treatment group 16.39%. Two years later, the recurrence rate of control group is 68.18%, cognitive therapy group 58.21%, cognitive therapy plus traditional Chinese medicine treatment group 23.88%. Three years later, the recurrence rate of control group is 75.15%, cognitive therapy group 65.55%, cognitive therapy plus traditional Chinese medicine treatment group 27.33%. The proportion of the increasing value of the decreasing rate of HAMD and the control group or the pure cognitive therapy group is less than 0.01.Conclusion: This study showed the effect of cognitive therapy plus traditional Chinese medicine treatment groups about prevention of recurrence of depression is obviously higher than control group and the pure cognitive group. Patients have a high quality of life. There are differences between three groups about HAMD scores and the change of the rate of decreasing score and comparison of survival quality, which is of great statistical significance.the treatment of cognitive therapy combined with the traditional Chinese medicine has obvious advantages on the aspect of prevention of recurrence of depression. It characterized by its small side-effects, strong compliance of patients, long-time service, individualized treatment, and so on. a practical way to prevent the recurrence of depression was found.